MENOPAUSE AND HRT

MENOPAUSE

AGE

Physiology Of The Perimenpause

Pathophysiology of Menopause

OVARIAN DYSFUNCTION

Changes in hormones metabolism associated with menopause

Changes in hormones metabolism associated with menopause

PowerPlugs: Templates

Target organs of oestrogen

ANATOMICAL CHANGES

ANATOMICAL CHANGES

Menopausal symptoms

Menopausal symptoms

Hot Flushes

NEUROLOGICAL

URINARY TRACT

LATE SEQUELAE

Skin changes

DIAGNOSIS

3)Physical examination:

DIAGNOSIS

TREATMENT

Counseling

Counseling

Mild tranquillizers

HORMONE REPLACEMENT THERAPY

HORMONE REPLACEMENT THERAPY

INDICATIONS OF HRT

CONTRAINDICATIONS OF HRT

DRUGS USED IN HRT

ESTROGEN THERAPY

ESTROGEN THERAPY

ESTROGEN THERAPY

Oral Preparations of estrogen

ESTROGEN: ORAL

PROGESTERONE

Transdermal Preparations of estrogen

ESTROGEN: TRANSDERMAL

ESTROGEN: IMPLANTS

THE RISKS OF HRT

HRT and breast cancer

HRT and breast cancer

HRT and breast cancer

HRT and venous thrombo-embolism

HRT AND VENOUS THROMBO-EMBOLISM

WOMEN’S HEALTH INITIATIVE & MILLION WOMEN STUDY

PROGESTERONE

ANDROGENS

TIBOLONE

RALOXIFENE

raloxifene

SOYA

BISPHOSPHONATES

PREMATURE MENOPAUSE

PREMATURE MENOPAUSE

AETIOLOGY

AETIOLOGY

AETIOLOGY

PATHOPHYSIOLOGY

SYMPTOMS

INVESTIGATION

COMPLICATIONS

MANAGEMENT

LATE MENOPAUSE

THANK YOU