Menopause Planner - gynaeguru.in

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Patient Profile

Basic demographics and menopausal status

Age

BMI

Menopausal Status

Perimenopause Menopause (≥12 months) Surgical Menopause Premature Ovarian Insufficiency

Last Menstrual Period (approx)

Time since LMP

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Symptom Assessment

Select all presenting symptoms

Vasomotor Symptoms

✓Hot flushes / flashes ✓Night sweatsDisturbing sleep ✓Palpitations

Genitourinary Symptoms

✓Vaginal dryness / dyspareunia ✓Urinary urgency / frequency ✓Recurrent UTIs

Psychological & Cognitive

✓Mood changes / irritability ✓Anxiety / panic attacks ✓Brain fog / poor concentration ✓Low mood / depression ✓Sleep disturbances / insomnia

Musculoskeletal & Other

✓Joint / muscle pain ✓Reduced libido ✓Fatigue ✓Skin / hair changes

Overall Symptom Severity

Mild Moderate Severe

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Medical History & Contraindications

Essential for HRT eligibility screening

🚫 Absolute Contraindications to HRT

✓Personal history of breast cancerCurrent or past — HRT contraindicated ✓Endometrial / uterine cancerOestrogen-dependent tumour ✓Undiagnosed vaginal bleedingMust be investigated first ✓Active DVT / pulmonary embolismOr recent thrombotic event ✓Active coronary artery diseaseUnstable angina / recent MI ✓Active / recent stroke or TIA ✓Active severe liver disease ✓Known or suspected pregnancy

⚠️ Relative Contraindications & Risk Factors

✓Family history of breast cancerFirst-degree relative ✓Past history of DVT / PE ✓Uncontrolled hypertensionBP >160/100 mmHg ✓Diabetes mellitusEspecially with vascular complications ✓Migraine with aura ✓Active gallbladder diseaseOral oestrogen increases risk ✓Current or recent smoker ✓Obesity (BMI > 30)Increased VTE risk with oral HRT ✓Known thrombophiliae.g. Factor V Leiden

Uterine Status

Uterus intact Post-hysterectomy Uncertain

Bone Health

✓Known osteoporosis / low BMD ✓History of fragility fracture

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Investigations & Screening

Available results and screening status

FSH (IU/L)

Oestradiol (pmol/L)

Testosterone (nmol/L)

Most recent mammogram

Most recent cervical smear

DEXA / Bone Density Scan

Normal (T-score > -1) Osteopenia (-1 to -2.5) Osteoporosis (< -2.5) Not done

Menopause Management
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Pregnancy Care

Labour

Women’s Health

Adolescent Care

Obs & Gynae Emergencies

Infertility

Screening for Cancers

Menopause ManagementPlanner