Menopause

Question 1

menopause defined

Answer 1

one year of no mentstraul bleeding

Question 2

average age of menopause

Answer 2

51

Question 3

labs you draw for menopause

Answer 3

FSH, LH and estrodiol

Question 4

lab findings for menopause

Answer 4

FSH great than 30 and no menses for a yeat

Question 5

_________ is associated with early menopause

Answer 5

moking

Question 6

estrodiol less than ________ for dx

Answer 6

20

Question 7

fertility is still present in __________

Answer 7

perimenoupause, when you have light er bleeding, spotting, irregularity

Question 8

as many as _______% of women get hot flashes

Answer 8

75

Question 9

tx for vasomotor sx

Answer 9

estrogens, progestins, clinidine, SSRI, black cohosh, gabapentin

Question 10

treat vag sx early, because on ce lost, you cant get it back, but it will abate, so If you treat it you can _______ over time

Answer 10

taper

Question 11

premarin, equein estrogen

Answer 11

systemic HRT

Question 12

the point of tx is to treat as small as needed location, with the _________ possible dose to improve safety profiles

Answer 12

lowest

Question 13

decreased _________ may contribute to a decline in sexual desire. treatment for this is off label

Answer 13

testerone

Question 14

vaginal atrophy increases the risk for ____________

Answer 14

STI/HIV

Question 15

midlife women may have memory and concentrations problems…. this is due to normal aging and or mood. studies show that ________- can increase this decline

Answer 15

estrogen/progestin

Question 16

predicit factor at midlife is ________

Answer 16

prior hx of MDD

Question 17

skin and hair changes

Answer 17

hair loss, skin become thinnger and less elastic, nails become birttle, hirutism

Question 18

peak bone mass is (age)

Answer 18

25-30

Question 19

women can loose up to ________ of bone mass in 5-7 years after menopause

Answer 19

5-7

Question 20

t scores

Answer 20

t store -1–2.5 osteopenic
less than -2.5 osteoporoctic

Question 21

what should we supplement with _______ at 30yo to maintain good bone health

Answer 21

calcium and vitamin D

Question 22

before menopause, very few women die from ______

Answer 22

CHD

Question 23

after menopause CHD increases; there are estrogen and progesterone receptors present in heart and aorita

Answer 23

2-3x

Question 24

breast cancer is a _________ distribution

Answer 24

bimodal (30yo, agressive and fiast) and 70’s (slow growing and treatable usually…doesn’t kill them)

Question 25

screen for these cancers for these women

Answer 25

breast, colorectal, cervical

Question 26

approved inidcations for HRT

Answer 26

prevention of oestoporosis, tx of vasomotor sx, tx of vag atrphoy

Question 27

ET is unapposed rxed for women who do/do not have unteurs

Answer 27

do not have a utures

Question 28

ET is also used locally in low doses for any woman with _________ and has a utures

Answer 28

vag sx

Question 29

EPT, estrogen progestroen therapy protects from _________ which can actually be caused by ____________

Answer 29

endometrial, estrogen alone

Question 30

Absolute risks for HT:

Answer 30

thrombosis, stroke, and CVD (MI)

Question 31

PERSONAL MI? They are NOT a canidate for ________AT ALL

Answer 31

HRT

Question 32

The older you are when initatieng HRT, the worse the ______

Answer 32

risks

Question 33

BHT: bioidentical hormone therapy. Some are FDA approved, some are unapproced and untested from compounding pharmacys

Question 34

other contradictions for HRT (oral)

Answer 34

undxed vag bleeding, DVT or PE, MI/Stroke, liver disease, history of endometrial or breast cancer (+/- with fam hx)

Question 35

________ is FDA approved for menoupausal sx

Answer 35

paroxetien

Question 36

vasomotor sx can be treated with really well with ________

Answer 36

gabapentin, especially to help with sleep too (sedating)

Question 37

clonidine is great because it comes in _________ form

Answer 37

pathc