Menopause

Question 1

Perimenapause def?

Length?

Answer 1

First instance of climacteric symptoms to one yr after menopause

Usually 4yrs

Question 2

Premenopause def?

Answer 2

From climacteric irregular mensuration to last menstrual period

Question 3

Menopause def

How diagnoses?

Answer 3

Permanent ceasing of menstruation

Confirmed 12 months after

Question 4

Atrophic features of Menopause

Answer 4

• Volvulovaginal atrophy (dyspareunia)
• Breast tissue atrophy
• Urinary atrophy (dysuria, infx etc)
• Osteoporosis

Question 5

HAVOCS?

Answer 5

• Hot flashes
• AV- Atrophy of Vagina
• Osteoporosis
• Coronary artery disease
• Sleep impairment

Question 6

Labs findings in Perimenopause

Answer 6

• Decreased Estrogen & progesterone
• Decreased inhibin B
• INCREASED* FSH

Question 7

Menopause differential

Answer 7

Hyperthyroidism

Question 8

HRT for women post- hysterectomy

Answer 8

Estrogen therapy

Question 9

HRT for women with a uterus

Answer 9

Estrogen + progestin

Question 10

Premature menopause def

Answer 10

Menses ceases before 40