Hormone Replacement Therapy

Question 1

Used primarily to alleviate the symptoms associated with menopause

Answer 1

Hormone Replacement Therapy (HRT)

Question 2

Debilitating postmenopausal symptom

Answer 2

vasomotor- hot flashes

Question 3

Absolute contraindications to HRT

Answer 3

CHD, thromoboembolic dz, liver disease, uncontrolled HTN

Question 4

What is the general length of HRT?

Answer 4

5 yrs

Question 5

By what age should a women stop HRT?

Answer 5

60 yrs

Question 6

Only hormone you need to replace if a woman doesn’t have a uterus

Answer 6

estrogen

Question 7

the “gold” standard for relief of menopausal symptoms

Answer 7

estrogen

Question 8

Most common side effect of estrogen therapy (estradiol)

Answer 8

breast tenderness

Question 9

Hormones to replace if woman has a uterus

Answer 9

progestin w/estrogen

Question 10

Medications that include progestin w/estrogen

Answer 10

Medroxyprogesterone actetate or Micronized progesterone

Question 11

How does it work w/ postmenopausal women who are NOT on hormones who present w/ vaginal bleeding—what do they get FIRST?

Answer 11

transvaginal ultrasound

Question 12

What size thickness of endometrium on transvaginal ultrasound warrants a biopsy?

Answer 12

thickness greater than 4mm

Question 13

can lead to decreased sexual function in postmenopausal women

Answer 13

decreased testosterone levels

Question 14

How can you replace testosterone in women?

Answer 14

1-2% cream applied on thigh

Question 15

What is the treatment if only symptom is vaginal dryness of atrophy?

Answer 15

topical estrogen cream