Menopause

Differential: • Thyroid dysfunction • Hyperprolactinaemia • POI • Pregnancy Investigations: • FSH not routinely needed if >45 with typical symptoms • Check if: <45, atypical symptoms, or to exclude other causes Perimenopause: • Irregular periods + vasomotor symptoms in woman >45 years • Symptoms: hot flushes, night sweats, mood changes, sleep disturbance Menopause: • 12 months amenorrhoea + symptoms • Can be clinical diagnosis without FSH Premature menopause: • Menopause <40 years - requires FSH + oestradiol • Refer to specialist