Introduction to HIV Study Day 8th February, 2018 – Shema Doshi Welcome to your Introduction to HIV Study Day 8th February, 2018 - Shema Tariq What are the genital symptoms of menopause?a. Can last up to two yearsb. Stop immediately after menopausec. Can last for a woman's lifetimed. Non of the above Data shows that women living with HIV (compared to those without)? a. Have higher levels of monpausal symtoms b. Have lower rates of HRT use (hormone replacement therapy - also known as menopausal hormone therapy) c. Have increased risk of long term serious side effects from HRT (such as breast cancer) d. Are more likely not to be prescribed lipid lowering drugs, when indicated In HIV care we should be taking a menstrual history into account?a. Women who are trying to conceive onlyb. Women with a previous history of menstrual irregularity onlyc. All women with HIVd. All women under the age of 45 years Which women with HIV should we be assessing menopause symptons?a. Women aged <45b. All womenc. Women aged >50d. Only women whose periods are irregular or have stopped What should you consider when prescribing combined HRT (oestrogen and progestogen) to women boosted PI - based ART?a. Counselling re side effects of HRTb. Likely DDIs with ARTc. Potentially decreases oestrogen levels (menopausal symptoms not controlled)e. Potentially increases progestogen levels (PMS - like side effects)e. Needs dose titrationf. Consult Liverpool drug interaction sideg. Ensure GP is awareh. Could change ART if appropriatei. All of the above Time is Up!