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THE PHYSICAL IMPACT OF MENOPAUSE Dr K. McKinney Department of - - PowerPoint PPT Presentation
THE PHYSICAL IMPACT OF MENOPAUSE Dr K. McKinney Department of - - PowerPoint PPT Presentation
THE PHYSICAL IMPACT OF MENOPAUSE Dr K. McKinney Department of Obstetrics & Gynaecology, Daisy Hill Hospital What is Menopause? Menopause is the last menstrual period Perimenopause: beginning of menopausal symptoms to the
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Menopause - when?
Average age
- f natural
menopause is 51 years
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Effect of menopause on daily life
Home 50% of women said their
menopause symptoms affected their home life
Social 36% of women said their
menopause symptoms affected their social life
Work 36% of women
said their menopause symptoms affected their work life
Sex 50% of women
said their menopause symptoms affected their sex life
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Menopause and work
This police officer considered leaving her job because of the menopause
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New menopause policy for PSNI considered
Over a third of the PSNI workforce are women 70% thought there should be a menopause policy
26th April 2018
Assistant Chief Constable Barbara Gray
“Menopause can impact some individuals adversely at work”
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Menopause and work
In NI women make up 50.5% of the workforce In SHSCT - workforce is approximately 86.8% female 56% of women over 50 are in employment Menopause at work will affect more women as they
continue to work longer
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Daily Mail May 2018
Liz Jones
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- Periods changing
- Vasomotor 2-5yrs
- Insomnia
- Tiredness,
irritability, poor concentration
- Mood swings
- (Weight gain)
- Headaches
- Palpitations
- Connective tissue
- Skin/hair
- Joint aches
- Cognitive function
- ‘foggy head’
- Low self esteem
- More emotional
Early Menopausal Symptoms
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Hot flushes/ night sweats
60-85% of women experience symptoms 20% so severe that they affect quality of life Previous belief- 2 to 3 years 10%, symptoms can
continue for more than 15 years
So no arbitrary limits
for treatment
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Lifestyle Modification Core body temperature
- Lower air temperature reduces hot flushes
- Keep cool / cold food
- Avoid thermally hot food/drinks
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Hot flushes
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Hot flushes
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Lifestyle Modification
Exercise High BMI predisposes to more severe hot flushes Non-smokers fewer hot flushes
Risk increases with cigs smoked
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Lifestyle Modification Relaxation Techniques
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Non prescription remedies
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Prescribable Non-HRT
Clonidine /Dixarit SSRI DRUGS
(Selective Serotonin Reuptake Inhibitors) Venlafaxine, Fluoxetine, and Paroxetine
Gabapentin
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HRT
Sequential combined Continuous combined Oral vs transdermal
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Vaginal Problems
Vaginal dryness Vaginal discomfort Pain during sex Vaginal itching /burning Vaginal or urinary infections Lack of bladder control
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The French approach to menopause
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Treatment
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Treatment
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Treatment
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Osteoporosis
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HRT: When to be referred
Persistent side effects Poor symptom control Bleeding problems Complex medical history Individual request History of hormone dependant cancer
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Different women…..different risks
Individual women need individual assessment and Individual treatment
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video
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