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MedAll Primary Care
MedAll Primary Care
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Sue Gibson
Sue Gibson
Posted by Sue Gibson  |  22 Jan 2024 (Edited)
22 Jan 2024 (Edited)

Q&A from Primary Care Updates: Menopause

This Primary Care Updates course is designed to help GPs to stay up-to-date with the latest guidelines and developments in menopause diagnosis and management, including hormone replacement therapy and alternative, non-hormonal options.

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6
Amanda Buckingham and 5 others have liked this

Q&A from Primary Care Updates: Menopause

This Primary Care Updates course is designed to help GPs to stay up-to-date with the latest guidelines and developments in menopause diagnosis and management, including hormone replacement therapy and alternative, non-hormonal options.

👍
6
Amanda Buckingham and 5 others have liked this
23 Jan 2024

Can someone comment about prescribing HRT in combination with POP ?I understand it can be given together if patient not keen to have mirena but any practical tip or have you come across any issues when both are given ie transdermal oestrogen gel plus utrogeston with desogetrol as one of my patient wanted to go on the transdermal oestogen gel plus micormised progesteron tablet in cyclical fashion as she is perimenopause but also needs contraception.

Can someone comment about prescribing HRT in combination with POP ?I understand it can be given together if patient not keen to have mirena but any practical tip or have you come across any issues when both are given ie transdermal oestrogen gel plus utrogeston with desogetrol as one of my patient wanted to go on the transdermal oestogen gel plus micormised progesteron tablet in cyclical fashion as she is perimenopause but also needs contraception.

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1
Team MedAll has liked this
Sharifah Syed Abdullah22 Jan 2024(Edited)
22 Jan 2024(Edited)

thank you so much. what medication can patient with hx of breast CA on tamoxifen have for menopausal sx?

thank you so much. what medication can patient with hx of breast CA on tamoxifen have for menopausal sx?

Amira Suliman22 Jan 2024(Edited)
22 Jan 2024(Edited)

how look can you vaginal oestrogen with combined patch art

how look can you vaginal oestrogen with combined patch art

Nicola Hambridge22 Jan 2024
22 Jan 2024

you can use vaginal oestrogen with systemic HRT patch or other forms

you can use vaginal oestrogen with systemic HRT patch or other forms

Christine TALBOYS22 Jan 2024(Edited)
22 Jan 2024(Edited)

How can we get all primary care teams fully briefed on the up-to-date information on HRT so that all women can access good menopausal care?

How can we get all primary care teams fully briefed on the up-to-date information on HRT so that all women can access good menopausal care?

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1
Yvonne McGivern has liked this
Kaveri Bharati22 Jan 2024(Edited)
22 Jan 2024(Edited)

Any changes on age recommendation for fsh for different ethnicity like Indian ??

Any changes on age recommendation for fsh for different ethnicity like Indian ??

Joy Erhuero22 Jan 2024(Edited)
22 Jan 2024(Edited)

what would you advise women who want non hormonal/herbal options for menopause treatment?

what would you advise women who want non hormonal/herbal options for menopause treatment?

Palika Mokool22 Jan 2024(Edited)
22 Jan 2024(Edited)

if patient with low libido but normal testosterone level. would you still consider testosterone replacement?

if patient with low libido but normal testosterone level. would you still consider testosterone replacement?

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1
Natalija Staliuniene has liked this
Athisaya Pathmanathan22 Jan 2024(Edited)
22 Jan 2024(Edited)

What would be the best natural hrt (closer to the one body makes)

What would be the best natural hrt (closer to the one body makes)

Morenikeji Olaniyi22 Jan 2024(Edited)
22 Jan 2024(Edited)

Women on mirena coil for contraception, and become menopausal,how long to use the mirena as progesterone component of HRT

Women on mirena coil for contraception, and become menopausal,how long to use the mirena as progesterone component of HRT

Wesam Hammouri22 Jan 2024
22 Jan 2024

What about certificates of attendance please??

What about certificates of attendance please??

Nicola Hambridge22 Jan 2024
22 Jan 2024

Re Ospemifene - is this NICE approved? I've never heard of it!

Re Ospemifene - is this NICE approved? I've never heard of it!

Archana Nathan22 Jan 2024(Edited)
22 Jan 2024(Edited)

Are there any Menopause Symptoms Questionnaire that is validated, which could be used to help diagnose menopause? thank you

Are there any Menopause Symptoms Questionnaire that is validated, which could be used to help diagnose menopause? thank you

Ezinneamaka Erhirhie22 Jan 2024(Edited)
22 Jan 2024(Edited)

4 years for Mirena for endometrial protection

4 years for Mirena for endometrial protection

Nicola Hambridge22 Jan 2024
22 Jan 2024

Can evorel/matrix patches be cut eg evorel conti to give one and a half patches, two patches etc etc?

Can evorel/matrix patches be cut eg evorel conti to give one and a half patches, two patches etc etc?

Oksana Dickinson22 Jan 2024(Edited)
22 Jan 2024(Edited)

Vaginal use of utrogestan? Any thoughts?

Vaginal use of utrogestan? Any thoughts?

Iqra Sheikh22 Jan 2024(Edited)
22 Jan 2024(Edited)

Whats the maximum dose of oestrogen or progesterone can be given in primary care? And how do we know which one of these to change to improve symptoms..

Whats the maximum dose of oestrogen or progesterone can be given in primary care? And how do we know which one of these to change to improve symptoms..

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1
Natalija Staliuniene has liked this
Neetul Shah
Neetul Shah
Neetul Shah22 Jan 2024(Edited)
22 Jan 2024(Edited)

Great presentation, and thank you for going through so many questions, really useful

Great presentation, and thank you for going through so many questions, really useful

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1
Anthony Gascoyne has liked this
Uzma Akhter22 Jan 2024(Edited)
22 Jan 2024(Edited)

Can we check oestrogen level to check HRT effectiveness.

Can we check oestrogen level to check HRT effectiveness.

Mel Firby22 Jan 2024(Edited)
22 Jan 2024(Edited)

what would you advise for 48 year old in perimenopause, still periods but brain fog,anxiety,depression low libido symptoms. FH (mother) of breast cancer aged 47)

what would you advise for 48 year old in perimenopause, still periods but brain fog,anxiety,depression low libido symptoms. FH (mother) of breast cancer aged 47)

HAMMAD NAWAZ Khan22 Jan 2024(Edited)
22 Jan 2024(Edited)

What is the best possible option if both HRT and other SSRis and other drugs are CI

What is the best possible option if both HRT and other SSRis and other drugs are CI

Purvi Chauhan22 Jan 2024(Edited)
22 Jan 2024(Edited)

What to do if a patient on continuous combined HRT. Continuous to have bleeding after 6 months

What to do if a patient on continuous combined HRT. Continuous to have bleeding after 6 months

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1
Natalija Staliuniene has liked this
Shimali Silva22 Jan 2024(Edited)
22 Jan 2024(Edited)

Recently few ladies have spoken to a private menopause specialist and been advised they can use micronised progesterone vaginally. Is this safe to do?

Recently few ladies have spoken to a private menopause specialist and been advised they can use micronised progesterone vaginally. Is this safe to do?

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1
Natalija Staliuniene has liked this
Vanessa Jonga22 Jan 2024(Edited)
22 Jan 2024(Edited)

What are your thoughts on tibolone?

What are your thoughts on tibolone?

Arma Yaqoob22 Jan 2024(Edited)
22 Jan 2024(Edited)

Evening - I am seeing more and more younger women around 40-42yr who have strong symptoms of peri-menopause, bloods NORMAL. Is it safe to trial with HRT treatment and review the effect??? Thank you

Evening - I am seeing more and more younger women around 40-42yr who have strong symptoms of peri-menopause, bloods NORMAL. Is it safe to trial with HRT treatment and review the effect??? Thank you

Athisaya Pathmanathan22 Jan 2024(Edited)
22 Jan 2024(Edited)

Can you give hrt if family history of breast cancer/vte/stroke thanks

Can you give hrt if family history of breast cancer/vte/stroke thanks