Professional Documents
Culture Documents
Year 4
Mar 2016
Confirm menopause
Discuss symptoms
o Vasomotor hot flush, night
sweats
o Urogenital vaginal dryness,
pain with sex, UTIs
o CV palpitations
o Sleep + mood
Age 51y +-5y
Uterus intact? Y O + P because only O can cause womb cancer, not
intact O only
BENEFITS
-
Vasomotor symptoms
Urogential symptoms
Reduction in
osteoporosis + CHD risk
Less palpitations
Better sleep and mood
RISKS
-
Breast cancer
VTE can be prevented
by transdermal route
CHD
SE bloating, oedema,
headaches, indigestion,
depression, erratic
bleeding
F&C OSCES
Year 4
Mar 2016
Which HRT? It is up to you what works best for you. The benefits usually
outweigh the risks. We start on the lowest effective dose to minimise SE.
Oral or transdermal Oestrogen transdermal fewer risks
Micronised progesterone 200mcg/d 2w, 2w off if youre still having periods.
100mcg/d if no periods
Sequential combined
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