Case Management: Perimenopause

Perimenopause presents with diverse and often overlapping symptoms, and many women are dismissed or misdiagnosed due to normal hormone levels, atypical presentations or complex medical histories. This course provides General Practitioners with an evidence-based framework for recognising perimenopause, excluding alternative causes, and individualising management according to each patient's risk profile.

Through eight interactive case studies, participants explore perimenopause assessment and management in general practice, including:

1. Diagnosing early perimenopause in a woman with regular cycles and normal FSH/LH
2. Balancing MHT decision-making in a woman with a previous provoked deep vein thrombosis
3. Managing contraception alongside symptom control during the menopause transition
4. Assessing menopausal status and treatment options after endometrial ablation
5. Evaluating brain fog, fatigue and mood changes, and determining the role of MHT
6. Selecting safe MHT options for a woman with migraine with aura
7. Managing perimenopausal symptoms following previous breast cancer using non-hormonal options
8. Addressing reduced libido and dyspareunia in perimenopausal women

Learners will develop practical skills in differential diagnosis, individualised risk stratification, safe prescribing of hormonal and non-hormonal therapies, and shared decision-making to optimise patient-centred perimenopause care.

1. Distinguish Peri-Menopause including clinical definitions, diagnostic criteria, and characteristic symptom profiles.
2. Plan treatment for Peri-Menopause incorporating both hormonal and non-hormonal options, and tailoring management to the individual patient’s needs, preferences, and medical history.

All degree qualified medical practitioners.