MENOPAUSE- YOUR GPS PERSPECTIVE Dr Gillian Norris BMSc (Hons) MRCOG - PowerPoint PPT Presentation

MENOPAUSE- YOUR GP’S PERSPECTIVE Dr Gillian Norris BMSc (Hons) MRCOG MRCGP DFSRH ICP / Federation Elective Care Educational Lead

Menopause  The last period  Average age approx 53 years old  But there is more to it than that

Heart Disease Coronary Heart Disease remains the number 1 killer in the UK In Europe it accounts for 10% female deaths before age 65 and 37% female deaths before the age of 75 www.heartuk.org.uk

Risk factors Non Modifiable Risk Factors Modifiable Risk Factors BP  *Age BMI  *Family History Cholesterol  *Some other medical Smoking  conditions Diabetes  Low fruit and veg intake  Physical inactivity 

Heart age calculators  Google ‘British Heart Foundation’  www.bhf.org.uk/informationsupport/risk-factors/check- your-heart-age

Osteoporosis Loss of bone strength – leads to bone fragility  1 in 3 women over 50 will experience osteoporotic  fractures

Risk factors  Early menopause  Smoking  Steroids for 3+months  Lack of exercise  FH osteoporosis  BMI  Some medical conditions  Alcohol excess which affect absorption  Low Vit D and calcium in diet

Calcium intake calculator • www.iofbonehealth.org/calcium-calculator

What will my GP do?  Risk assessment scores  Possibly DEXA scan to assess bone density  Assess need for treatment  HRT is protective

Contraception  If last period is before the age of 50, contraception is required for a further 2 years  If last period is after the age of 50, contraception is required for a further 1 year  At age 55 it safe to assume contraception no longer required (Source: FSRH)

Method Unintended pregnancy (%/1st yr) with typical use No method 85 Male condom 18 Pills 9 Progesterone injection 6 Copper coil 0.8 Mirena coil 0.2 Nexplanon 0.05 Female sterilisation 0.5 Male sterilisation 0.15 Trussell et al (from FSRH guidance)

Breast Screening • Invited for mammogram 3 yearly from age 50-70 years old • SHSCT 74% uptake (Jan-March 2017) • Action Cancer- screening on request 40-49y, 70y+ • If you have a lump/symptoms please see your GP

Source: Women’s Health Concern

Cervical Screening • Looks for abnormal changes that can develop into cancer if not treated • 99% are linked with HPV • In NI 3 yearly aged 25-49, 5 yearly aged 50-64 • If you have bleeding/ symptoms then please see your GP

Worth a look... www.patient.co.uk - leaflets menopause and HRT,  alternatives to HRT ‘Menopause matters’ - www.menopausematters.co.uk/  ‘Contraceptive methods FPA’  www.cancerscreening.hscni.net - videos Chat to your Community Pharmacist…they are there to help 

In Summary A lot to think about regarding your wider health at  menopause Information is key!  GP will help – but it will take more than one 10 min appt  to sort out