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Assessment & management - Jean Hailes

Menopause Health professional tool Assessment & management Phases of female Routine screening reproductive cycle Menopausal women are at increased risk of: Regular cycles heart disease, osteoporosis, central adiposity, mood disorders. premenopause'. Exclude thyroid, diabetes, iron deficiency, drug side effects Change in cycle frequency Bleeding changes recent changes in bleeding pattern including heavy bleeding early perimenopause'. Investigate for iron deficiency and gynaecological pathology Cycles up to 3-12 months apart Check last cervical screening test and mammogram late perimenopause'. Metabolic syndrome monitor BP, cholesterol, blood glucose, abdominal girth and weight Final menstrual period discuss with patient the need to increase activity and monitor caloric intake menopause' (average age 51 years). Bone density see bone health section No menstrual cycles >12 months Smoking discuss with patient the need to cease smoking postmenopause'.

Assessment of emotional wellbeing in menopausal women Women experiencing premature or early menopause are at increased risk of depression and anxiety.

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  Management, Depression

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