Menopause Flashcards
definition
no periods for 12 months
permanent end to menstruation
average age
51 years
perimenopause
around time of menopause
vasomotor symptoms
irregular periods
typical age perimenopause
older than 45 years
premature menopause
before 40 years
premature ovarian insufficiency
hormone levels
oestrogen and progesterone are low
LH and FSH high
what cells secrete oestrogen?
granulosa cells
physiology
decline in mature follicles
less oestrogen
irregular menstrual cycles
symptoms
hot flushes emotional lability or low mood irregular periods heavier or lighter periods vaginal dryness and atrophy reduced libido joint pains
risks
CVD and stroke
osteoporosis
pelvic organ prolapse
urinary incontinence
When to do a FSH blood test?
women under 40
age 40-45 with menopausal symptoms or change in cycle
contraception
2 years after last menstrual period under 50
1 year if over 50
good contraceptive options
barriers, mirena coil
progesterone pill/implant/injection
side effects of depo-provera
weight gain and reduced bone mineral density
treatment options
HRT tibolone CBT vaginal oestrogen SSRI
