Menopause

Question 1

Premenopause definition

Answer 1

• regular periods

Question 2

Perimenopause definition?

Answer 2

• irregular peridos

Question 3

Post-menopause definition?

Answer 3

• no periods > 12mnths

Question 4

Average age of the menopause?

Answer 4

• 51yrs

Question 5

Premature menopause age?

Answer 5

• < 40yrs

Question 6

Early menopause age range?

Answer 6

• 40-44yrs

Question 7

Average duration of symptoms of the menopause?

Answer 7

• 7.4yrs

Question 8

Symptoms of the menopause?

Answer 8

• mood swings
• night sweats
• hot flushes
• loss of sex drive
• insomnia
• weight gain

Question 9

FSH testing for?

Answer 9

• women > 45 yrs with atypical symptoms
• 40-45yrs with iatrogenic ammenhorea
• women < 40yrs

Question 10

HRT benefits?

Answer 10

• increased mental health
• increased sexual health
• reduced vasomotor symptoms
• reduced osteoporosis risk

Question 11

Risk of HRT?

Answer 11

• Breast cancer
• VTE
• Transdermal patches reduce VTE risk

Question 12

Contraindications to HRT?

Answer 12

• History of breast cancer
• coronary heart disease
• TIA or previous stroke
• active liver disease

Question 13

HRT option for women with hysterectomy?

Answer 13

• estrogen only

Question 14

HRT option for women without hysterectomy or mineral coil?

Answer 14

• estrogen and progesterone

Question 15

Advice of perimenopausal contraception?

Answer 15

• age < 50 (2 yrs since period, 2 results of FSH > 30)

- age > 50 (1yr since period, 1 result of FSH>30)

Question 16

What happens to FSH levels in the menopause?

Answer 16

• FSH levels increase > 30 in menopause

- estrogen decreases