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Menopause & Female Ageing

From Mediwikis
  • Average 51 years
  • Perimenopause- 8 years before, symptoms without the actual menopause
  • Menopause= 1 year after last missed period

Oestrogen Deficiency Symptoms

  • Vasomotor
    • Hot flushes
    • Night swears
    • Palpitations
  • Urogenital
    • Dyspareuria
    • Non specific infection
    • Loss of muscle tone
    • Dysuria/urgency
    • Painful sex
  • Long term
    • Osteoporosis
    • Lordosis
    • Bone loss

Premature Menopause

  • Before 40
  • 1/100 women
  • Hard to differentiate from PCOS

HRT

  • Treats oestrogen deficiency
  • Lead to hyperplasia of endometrium so give with progesterone
  • Topical oestrogen for urogenital symptoms
  • Continuous sequential- perimenopausal to give a period
  • Long cycle- period every 3 months
  • Continuous- post menopause, no periods

Side effects:

  • Regular period if on sequential
  • Oestrogen causes tender breasts, bloatedness, headaches
  • Progesterone causes PMS, depression lower libido

If bleeding:

  • Cancer?
  • Atrophy
  • Endometrial polyps
  • Fibroids
  • Hyperplasia