Listen to this Q&A series with Associate Professor Gino Pecoraro OAM responding to questions collected from GPs at HealthEd's face-to-face seminars around Australia.
Prof Rod Baber AM answers questions submitted by GPs during our face-to-face seminars around Australia.
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In this episode:
The questions answered in this podcast are listed below.
- Is there a specific age at which women should be advised to stop MHT?
- Can we restart MHT in a woman now in her early 60s who stopped MHT 3–4 years ago and has recurrent vasomotor symptoms?
- Can MHT be initiated more than 10 years after menopause?
- For women who missed the MHT window and are now in their late 60s or 70s, what are the options?
- How do we manage symptomatic women over 60 requesting MHT for symptoms other than vasomotor symptoms, such as fatigue, muscle aches, or concerns about dementia and cardiovascular protection?
- Can oral progesterone alone be used in women who missed the MHT window?
- Can vaginal progesterone be used in women intolerant of oral progesterone?
- Should women always have a pelvic ultrasound before initiating MHT?
- How should bleeding on MHT be investigated and managed?
- Is a baseline mammogram required before commencing MHT?
- If MHT was started during perimenopause, when should it be changed to continuous combined therapy?
- What is the impact of MHT on weight gain?
- Is MHT safe in women with BRCA mutations?
- What is the evidence for MHT use after breast cancer?
- Is MHT safe in ovarian cancer survivors?
- If MHT may be cardioprotective, why is it not recommended for primary prevention of cardiovascular disease?
- Can women with a history of thrombosis use MHT?
- Can topical Estrogel be used in a patient with Factor V Leiden?
- Why do some menopause clinics prescribe progesterone after hysterectomy in women with a history of endometriosis?
- Is Mirena sufficient endometrial protection with higher doses of Estrogel?
- Is Slinda adequate for endometrial protection during MHT?
Expert: Prof Rod Baber AM, Obstetrician and Gynaecologist
Host: Dr Terri Foran, GP & Sexual Health Physician
Total time: 33 mins
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