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Menopause
The last period Average age approx 53 years old But there is more to it than that
MENOPAUSE- YOUR GPS PERSPECTIVE Dr Gillian Norris BMSc (Hons) MRCOG - - PowerPoint PPT Presentation
MENOPAUSE- YOUR GPS PERSPECTIVE Dr Gillian Norris BMSc (Hons) MRCOG - - PowerPoint PPT Presentation
MENOPAUSE- YOUR GPS 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
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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
Heart Disease
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Modifiable Risk Factors
BP
BMI
Cholesterol
Smoking
Diabetes
Low fruit and veg intake
Physical inactivity
Risk factors
Non Modifiable Risk Factors
*Age *Family History *Some other medical conditions
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Google ‘British Heart Foundation’ www.bhf.org.uk/informationsupport/risk-factors/check-
your-heart-age
Heart age calculators
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Loss of bone strength – leads to bone fragility
1 in 3 women over 50 will experience osteoporotic fractures
Osteoporosis
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Smoking Lack of exercise BMI Alcohol excess Low Vit D and
calcium in diet
Risk factors
Early menopause Steroids for 3+months FH osteoporosis Some medical conditions
which affect absorption
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Calcium intake calculator
- www.iofbonehealth.org/calcium-calculator
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What will my GP do?
Risk assessment scores Possibly DEXA scan to assess bone density Assess need for treatment HRT is protective
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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)
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Trussell et al (from FSRH guidance)
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
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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
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Source: Women’s Health Concern
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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
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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
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In Summary
A lot to think about regarding your wider health at menopause
Information is key!