Menopause

Question 1

diagnostic studies for menopause ?

Answer 1

• *FSH of greater than 30 mLU/ml is highly suggestive because ovaries aren’t responding
• estradiol < 20
• FSH level 21-100 helpful

Question 2

Estrogen therapy (ET): unopposed estrogen is prescribed for both?

Answer 2

a: systemically for women without a uterus

b. locally in very low doses for any woman with vaginal symptoms

Question 3

Estrogen-progestogen therapy (EPT): is added to ?

Answer 3

protect women with a uterus against endometrial cancer that can be caused by estrogen alone

Question 4

Bioidentical hormone therapy (BTH) consists of ?

Answer 4

hormones chemically identical or very similar to those made in the body

Question 5

Contraindications to HRT?

Answer 5

• undiagnosed vaginal bleeding
• active DVT or PE or hx of these
• MI and stroke hx
• liver disease
• hx of endometrial or breast cancer
• OF NOTE: family hx is not an absolute contraindication