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Menopause (clinical (symptoms (genitourinary syndrome (dyspareunia, non…

- - - - mood changes
      - hot flushes
    - - symptoms may begin up to six years before the final menstrual period
      - can continue for a variable number of years following final menstrual period
    - - dyspareunia
      - non-infective urgency
      - recurrent UTI
      - skin thins , hair becomes more sparse
- - - - transdermal
        
        vaginal/bladder symptoms
      - topical #
      - vaginal route cream, ring, or tablet for vaginal symptoms
      - oral
      - contraindicated in
        
        undiagnosed vaginal bleeding
        
        severe liver disease
        
        pregnancy
        
        venous thrombosis
        
        previous hx breast Ca
      - oestrogen alone for women post hysterectomy
      - in combination with progesterone in women with uterus
        
        10-14 days progesterone monthly
        
        continuous oestrogen
        
        1y menopause
        
        continuous progesterone and oestrogen
  - - - paroxetine