1
Q
How does menopause occur?
A
Due to:
- Oestradiol falling
- FSH rises
2
Q
What are the symptoms of menopause ?
A
'hot flushes' Vaginal dryness Low libido Muscle and joint aches Mood changes/poor memory
3
Q
What are the silent changes within menopause ?
A
Reduced bone mineral density.
4
Q
What is the treatment for menopause ?
A
Hormone replacement therapy (HRT) Patch Gel PO Oestrogen if no uterus Oestrogen and Progesterone if uterus present to prevent endometrial hyperplasia.
Local vaginal oestrogen only:
Pessary/ring/cream
5
Q
What are the contraindications for HRT ?
A
Hormone dependent cancer.
Active liver disease.
Un-investigated abnormal bleeding.
