Tibolone and HRT Risks and Benefits Counselling
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Questions and Answers

What is a contraindication for starting HRT?

  • History of early menopause
  • Active liver disease (correct)
  • Moderate to severe hot flushes
  • Being otherwise healthy

    • Which study showed no increased risk of ovarian cancer with HRT?

  • Women's Health Initiative study (correct)
  • Study on dementia risk in women over 65 years
  • Observational studies on Alzheimer's Disease
  • Million Women Study

    • In what situation is the benefit of HRT said to outweigh the potential risks of heart disease?

  • In women with suspected breast or endometrial cancer
  • In cases of undiagnosed vaginal bleeding
  • In women with early menopause and moderate to severe hot flushes (correct)
  • In individuals with acute liver disease

    • Which age group might face an increased risk of dementia with combined HRT & Estrogen-only therapy?

    <p>Over 65 years old</p> Signup and view all the answers

    When should HRT be stopped?

    <p>No specific mention of stopping HRT</p> Signup and view all the answers

    What is the recommended medical principle to apply when considering Hormone Replacement Therapy (HRT)?

    <p>First do no harm</p> Signup and view all the answers

    What are some alternative therapies mentioned in the text for menopausal symptoms?

    <p>Phytoestrogens and antidepressants</p> Signup and view all the answers

    When should women be offered Hormone Replacement Therapy (HRT) according to the text?

    <p>When they fully understand the potential risks</p> Signup and view all the answers

    What is the rationale behind considering stopping HRT after 5 years?

    <p>Biological justifications</p> Signup and view all the answers

    In what scenario may one or both ovaries be removed during a hysterectomy for benign causes?

    <p>If the ovaries are carriers of genetic mutations</p> Signup and view all the answers

    What are some lifestyle measures mentioned in the text as alternatives to Hormone Replacement Therapy (HRT)?

    <p>Exercise, stress reduction, and trigger avoidance</p> Signup and view all the answers

    What is the recommended approach for HRT after breast cancer?

    <p>Avoid systemic HRT and use topical estrogen</p> Signup and view all the answers

    In cases of ovarian conservation due to cervical cancer, what is the recommendation regarding HRT?

    <p>Use non-hormonal alternatives to HRT</p> Signup and view all the answers

    For a young female with stage 1 endometrial cancer, what is a recommended consideration regarding HRT?

    <p>Consider ovarian conservation or HRT</p> Signup and view all the answers

    What is the general stance on using HRT in cases of ovarian cancer?

    <p>HRT is usually contraindicated</p> Signup and view all the answers

    What is the ratio of premature ovarian insufficiency affecting individuals under 20 years old?

    <p>1 : 10,000</p> Signup and view all the answers

    In a case of hysterectomy for malignant reasons, what symptoms are likely to be experienced post-operation?

    <p>Sudden hot flushes</p> Signup and view all the answers

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