Menopause Health Assessment

Menopause Health Assessment Main concerns: * Hot flushes * Difficulty sleeping * Vaginal dryness LMP and menstrual history: * LMP was 6 months ago, periods previously regular, now infrequent. Menopause or perimenopause symptoms: [x] Vasomotor [x] Psychological [x] Musculoskeletal [x] Genitourinary [x] Sexual [ ] Other Past medical history: * Nil significant Past medical history – contraception: * Patient has had a Mirena coil fitted for 5 years, removed 6 months ago. Past medical history – cardiovascular: * Nil significant Past medical history – cancer: * Nil significant Past medical history – vte: * Nil significant Past medical history – osteoporosis: * Nil significant Past medical history – migraine: * Nil significant Family history: * Mother with breast cancer diagnosed at age 65. Family history – vte: * Nil significant Family history – cardiovascular disease: * Father with hypertension. Family history – osteoporosis: * Nil significant Health screening history: [x] Breast screening – last mammogram [x] Cervical screening [ ] Bowel cancer screening [ ] Bone density [x] Cardiovascular risk assessment Social history: * Smokes 5 cigarettes per day. * Drinks 1-2 units of alcohol per week. * Eats a balanced diet. * Exercises 3 times per week. Examination: * Height: 165cm * Weight: 75kg * BMI: 27.5 * Blood pressure: 135/85 mmHg Plan: * Discussed lifestyle modifications, including regular exercise and smoking cessation. * Discussed HRT options, patient keen to try. * Prescribed transdermal oestrogen and cyclical progesterone. * Arrange follow-up appointment in 3 months to review symptoms and HRT effectiveness.