Menopause

Question 1

Lifestyle management

Answer 1

Sleep hygiene, reduce stress, exercise, weight loss

Question 2

What are the CI to HRT?

Answer 2

Breast cancer (current or past) Any oestrogen sensitive cancer Undiagnosed vaginal bleeding Untreated endometrial hyperplasia

Question 3

How long do S+S of menopause last?

Answer 3

2-5 years

Question 4

Risks of HRT

Answer 4

VTE Stroke CHD Breast + ovarian cancer

Question 5

Management of vasomotor symptoms with non HRT

Answer 5

Fluoxetine, citalopram or venlafaxine

Question 6

Management of vaginal dryness symptoms with non HRT

Answer 6

Lubricant or moisturiser

Question 7

Describe cyclical HRT

Answer 7

Oestrodiol taken every day + progesterone taken on last 14 days of cycle (if regular) or last 14 days of a 3 month period (if irregular)