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    Learning disabilties
    • 05 Dec 2023
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    Learning disabilties

    • Updated on 05 Dec 2023
    • 1 Minute to read
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    Article summary

    • Women with learning disabilities experience the same symptoms of the menopause as others.
    • However, because there can be difficulties in understanding and communication, these women may require more individualised care and additional support, often involving extended families and carers.
    • Anyone who is registered on a GPs learning disability register is entitled to an annual health check and this can be a good time to enquire about the menopause in some women, particularly as this group of women may be less likely to ask for help.
    • Studies suggest that the onset of menopause is often earlier in women with learning disabilities. In women with Down's Syndrome, for example, the mean age of menopause is 44–46 years.
    • Physical problems among women with learning disabilities warrant particular focus. For example, many patients with Downs Syndrome develop the characteristic neuropathology associated with Alzheimers by the time they reach 40 years of age. They also have a higher incidence of ischaemic stroke and leukaemias and may be at increased risk of venousthromboembolism, osteopenia or osteoporosis.
    • Many patients with learning disabilities can make decisions and express their choices. The presence of a learning disability does not imply a lack of capacity. However, sometimes informed consent can be more difficult in patients with learning disabilities.
    Further Information:

    Martin D, Kakumani S, Martin M et al. Learning disabilities and the menopause. J Br Menopause Soc. 2003.
    Briggs P, Barsoum M, Soffe K. Challenges faced by women with learning disabilities, when they reach the menopause transition. Post Reprod Health 2023.

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