B8.027 Prework 1: Menopause

Question 1

menopause definition

Answer 1

normal, natural event

final menstrual period confirmed after 1 year of no menstrual bleeding

Question 2

what does menopause represent

Answer 2

permanent cessation of menses resulting from loss of ovarian follicular function
usually due to aging

Question 3

when is menopause

Answer 3

average age 51
prematurely from medical intervention (bilateral oophorectomy, chemo, radiation)
at any time from impaired ovarian function

Question 4

how do women view menopause?

Answer 4

51% said they were happier in their younger years
75% make a lifestyle change around menopause
women with negative attitudes have more symptoms

Question 5

demographics of menopause

Answer 5

6,000 US women reach menopause per day

life expectancy is 80.5 years

Question 6

natural menopause

Answer 6

occurs spontaneously

Question 7

premature menopause

Answer 7

occurs before 40

Question 8

induced menopause

Answer 8

cessation of menstruation that follows bilateral oophorectomy (w or w/o hysterectomy), chemo, or radiation

Question 9

perimenopause

Answer 9

time around FMP (menopause transition)
begins with variation in the menstrual cycle length of >7 days associated with a rise in FSH
ends 1 year after FMP

Question 10

symptoms in perimenpause

Answer 10

often most symptomatic phase

Question 11

postmenopause

Answer 11

years after FMP or after cessation of ovarian function

1/3 to 1/2 of lifespan of american women

Question 12

what is the STRAW +10 citeria

Answer 12

nomenclature for reproductive aging
doesn't have age criteria
takes into account:
-menstrual cycle
-endocrine levels
-follicle count
-symptoms

Question 13

confirming menopause

Answer 13

age, medical and menstrual history, and symptoms usually sufficient
rule out other causes
consistently elevated FSH (>30)
-rarely necessary to check
serum estradiol if diagnosis unclear