Gynaecology - Menopause, Premature Ovarian Failure and HRT for Medical Students

In 10 minutes, I will cover:
The HPG axis
Menopause - definition, physiology, history, investigations, management, long term consequences
Premature Ovarian Failure - definition, aetiology, management
HRT - types, contraindications, side effects
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Gynaecology - Menopause, Premature Ovarian Failure and HRT for Medical Students, Physician's Associate Students, Nursing Students, Midwifery Students and Biology Students
Disclaimer: this video is purely for educational purposes, and does not substitute professional medical advice or consultations with healthcare professionals.

[@lilacpenafiel826]

Doctors have explained to me about this but my mind seem to be floating and could not understand them. This video is very concise and clear. Good job! I was diagnosed with POF and this helps.

[@MedFlixAndChill]

So glad to hear that this video was helpful and informative! Wish you all the best :)

[@MissHinds09]

Hi, I was diagnosed at 25 with POF I’m now 35 going to restart HRT. Everyone always asks why I don’t have any children and I’m like omg long story.

[@manasvidwaraknath4778]

Excellent video, provided lots of high-yield information!

[@amyfogarty5125]

HRT should be first line treatment, not treated as a last resort. The Menopause Doctor website is a great resource. I don't think the benefits of HRT over the risks was highlighted enough here. The studies that showed increase risk of cancers have now been widely accepted as flawed- this should be included in your teaching!

[@MedFlixAndChill]

Thanks for your comment. I did a little research and the BNF, CKS and NICE guidelines all still say that there is an increased risk of certain cancers with HRT so CKS do not advise HRT as a first line treatment... rather something to be tried if conservative management doesn't work (bnf.nice.org.uk/treatment-summary/sex-hormones.html). I'm unable to find the studies you mentioned. Please do feel free to share your resources though and I'd be happy to look into them!

[@amyfogarty5125]

@@MedFlixAndChill Only those who have had oestrogen receptive cancers should be considered a particular risk. HRT reduces the risk of heart disease, osteoporosis, and Alzheimer's in women. The majority of women who've survived breast cancer end up dying of heart disease, which can be mitigated by taking HRT. Women should be presented with these facts to be able to make an informed choice. Being a smoker or overweight puts you at a greater risk of breast cancer than HRT, and unfortunately the guidelines have not quite caught up with the evidence or put them into context. I recommend Dr Louise Newson's podcast if you would like to learn more about it. HRT is important for both symptom management, quality of life, but mostly, long term health & disease prevention. As it only acts to replace hormones that occur naturally in the body, it's important that doctors don't unecessarily limit patient access. Medical mysoginy unfortunately seems to have informed this approach over the years, and even now testosterone is not licensed for prescription for females, despite women producing 3x more of it than oestrogen. Just some food for thought! This is one particular topic that textbooks do not do justice to

[@SampathIndikaIroshan]

@@amyfogarty5125 This is for medical students and medical professionals. It is best to stick with the currently accepted evidence based guidelines. Thanks @Medflix for the great work.

[@alaahusain9911]

fantastic video!!!

[@maryoki6376]

really great content!

[@Melliaganz]

wow incredible

[@Athyrisgaming]

yahoooooooo

[@Olacoker]

COCP is not a sufficient treatment for POF, the amounts of estrogen and progesterone are too low to sustain.