Notes in 02_Perimenopause and Menopause

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Published 02/10/2024 {{c1::Menopause}} is defined as {{c2::the point at which menstruations stops permanently (no periods for 12 consequtive months)}}
Published 02/10/2024 A diagnosis of Menopause is made after a woman has had no periods for {{c1::12 consequtive months}}
Published 02/10/2024 Presentation of {{c2::Menopause and Perimenopause}} {{c1::Vasomotor Symptoms (e.g. hot flushes and night sweats)}} {{c1::Urogenital Symptoms (e.g. ir…
Published 02/10/2024 Cause of {{c2::Menopause}} {{c1::Ovarian insufficiency}} {{c1::Oophorectomy}} {{c1::Chemotherapy}}{{c1::Radiotherapy}}
Published 02/10/2024 A lack of {{c1::Oestrogen}} hormone increases the risk of certain conditions such as {{c2::Cardiovascular disease}}, {{c2::Osteoporosis}}, {{c2::Pelvi…
Published 02/10/2024 Describe the Pathophysiology of Menopause {{c1::The process of menopause begins with a decline in the development of ovarian follicles, without this g…
Published 02/10/2024 {{c1::Perimenopause}} refers to {{c2::the period around menopause where the ovarian function waxes and wanes, leading to irregular periods and vasomot…
Published 02/10/2024 {{c1::Premature menopause}} is menopause before the age of {{c2::40}} and is the result of {{c2::premature ovarian insufficiency}}
Published 02/10/2024 {{c1::Postmenopause}} is described as {{c2::the 12 months of spontaneous amenorrhoea following the menopause}}
Published 02/10/2024 Menopause is commonly a clinical diagnosis, but if in doubt then blood test of {{c1::FSH (> 30 mIU/mL) on two blood samples taken 4-6 weeks apart}}…
Published 02/10/2024 {{c1::FSH}} blood test can be done in women under 40 years for suspected premature menopause
Published 02/10/2024 In Menopause, A T-Score result on DEXA bone scan less than {{c1::<-2.5 SDs}} is diagnostic of {{c2::Osteoporosis}}
Published 02/10/2024 Forms of Hormone Replacement Therapy (HRT) used for Menopause{{c1::Local vaginal HRT: pessary, ring, cream}}{{c1::Systemic oestrogen +/- progeste…
Published 02/10/2024 The HRT Regimen for a Menopausal woman who has had a Hysterectomy is {{c1::Continuous Single HRT (Oestrogen only)}}
Published 02/10/2024 The HRT Regimen for a Menopausal woman who has her Uterus without any ovarian function (i.e. >1 yr after LMP) is {{c1::Continuous Co…
Published 02/10/2024 Menopausal Women with a Uterus are given HRT with {{c1::Continuous Combined HRT (Oestrogen and Progesterone)}} to prevent from {{c2::endometrial …
Published 02/10/2024 The HRT Regimen given to women who still have some natural ovarian function (i.e. Perimenopausal) is {{c1::Cyclical Combined HRT (Oestrogen …
Published 02/10/2024 Mechanism of Action of {{c1::Tibolone}}Type: Selective Estrogen Receptor Modular (SERM)Action: Continuous combined HRT function
Published 02/10/2024 Tibolone, a steroid hormone that acts as combined HRT, is given only after {{c1::12 months}} of Amenorrhoea
Published 02/10/2024 Prevention and Treatment of Osteoporosis {{c1::Weight bearing exercises}} {{c1::Adequate calcium and vitamin D}} {{c1::HRT}} {{c1::Bisphosphonates e.g…
Published 02/10/2024 First-line Treatment of Osteoporosis is {{c1::Bisphosphonates e.g. Alendronate}}
Published 02/10/2024 First-line Treatment of Severe Vasomotor Symptoms of Menopause is {{c1::Hormone Replacement Therapy (HRT)}}
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