Tibolone and HRT Risks and Benefits Counselling

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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?

Over 65 years old Signup and view all the answers

When should HRT be stopped?

No specific mention of stopping HRT Signup and view all the answers

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

First do no harm Signup and view all the answers

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

Phytoestrogens and antidepressants Signup and view all the answers

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

When they fully understand the potential risks Signup and view all the answers

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

Biological justifications Signup and view all the answers

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

If the ovaries are carriers of genetic mutations Signup and view all the answers

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

Exercise, stress reduction, and trigger avoidance Signup and view all the answers

What is the recommended approach for HRT after breast cancer?

Avoid systemic HRT and use topical estrogen Signup and view all the answers

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

Use non-hormonal alternatives to HRT Signup and view all the answers

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

Consider ovarian conservation or HRT Signup and view all the answers

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

HRT is usually contraindicated Signup and view all the answers

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

1 : 10,000 Signup and view all the answers

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

Sudden hot flushes Signup and view all the answers