Menopause

Question 1

Define the menopause

Answer 1

The last menstrual period

Diagnosed with 1 year from last period

Question 2

What age does the menopause occur?

When is it classed as premature?

Answer 2

Median 51yrs

Premature if <40

Question 3

What is the ‘perimenopause’?

Answer 3

Time preceding menopause

Question 4

What are symptoms of the perimenopausal time?

Answer 4

Menstruation of erratic

Question 5

What are EARLY symptoms & signs of the menopause?

Answer 5

Hot flushes
Insomnia
Psychological

Question 6

What are the LATER symptoms & signs of the menopause?

Answer 6

Skin & breast atrophy
Hair loss
Atrophic vaginitis
Prolapse
Urinary symptoms
Osteoporosis
CV disease

Question 7

How do you investigate the menopause?

Answer 7

Low anti-Mullerian hormone (AMH)

High FHS [may be normal initially]

Question 8

Outline treatments for the menopause

Answer 8

Not mandatory/ universal

HRT to alleviate symptoms & prevent osteoporosis - beware of RISKS