things to ASK for HRT
MGOS
VUN
Vasomotor- sweating, palpitaitons, hot flashes
urogenital - increased frequency, urinary problems, vaginal dryness, dypareunia
Neurologic - mood changes, sleep problems mood problems
cancer risk factors UBO
Uterine PCOS Obesity Diabetes Nulliparous
breast
ovarian
Osteoporosis
Forms of HRT
Local creams pessary rings
Systemic oral, transdermal, gels, implants
Benefits of HRT
symptoms
prevents osteoporosis
time of use
1-2 years
Contraindications
Stroke/DVT/CAD/diabetes/hypertension
Uterus- vaginal bleedings, cancer
Breast cancer
liver disease
Investigation
CBC, urianlysis, sugar, ECG, pap smear, ultrasound, mammography