General health / risk assessment
-
cervical smear
-
?PV
-
breast exam
-
CVRA
Symptomatic
HRT contraindicated
-
Hot flushes
-
venlafaxine 37.5mg-75mg/ od
-
paroxetine
-
clonidine 50-100mcg/day
-
Gabapentin 300-900mg/day
-
HRT
-
lowest dose
-
trial off every 1-2 years to assess need
-
short term where possible
-
QoL issues considered in HRT
-
CI
- hormone sensitive tumpours
Asymptomatic
-
Asses sBMD
-
Osteoporosis
-
T score \< -2.5
-
exclude other causes
-
Calcium
-
weight bearing
-
vit D
-
bisphosphonate
-
-
osteopenia
-
NOrmal