Menopause Flashcards

1
Q

menopause is the result of exhaustion of what?

A

ovarian follicle supply

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2
Q

onset of menstrual irregularity and vasomotor symptoms

A

perimenopause

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3
Q

what is the staging system used for menopause?

A

STRAW

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4
Q

what is the most important factor of menopause?

A

genetic

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5
Q

what can cause earlier menopause? (3)

A

smoking
never pregnant
low socioeconomic status

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6
Q

what is the average age of menopause in the US?

A

51

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7
Q

menopause that occurs before age 40

A

primary ovarian insufficiency

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8
Q

a sharp decrease in ovarian follicle supply occurs at what age?

A

37

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9
Q

what hormone increases slightly in the perimenopause due to increased FSH and its effects on follicular development?

A

estradiol (estrogen)

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10
Q

estradiol decrease starts about ___ months prior to menopause

A

6

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11
Q

after menopause, _____ level is permanently increased due to loss of negative feedback from estradiol

A

FSH

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12
Q

what is the diagnostic test of choice for menopause?

A

FSH (due to being permanently increased)

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13
Q

what are 9 menopausal symptoms and findings?

A

menstrual cycle irregularity
postmenopausal bleeding
hot flashes
mood changes
poor concentration
vaginal atrophy
decreased libido
bone loss
coronary heart disease

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14
Q

what menopausal symptom always needs to be evaluated for endometrial cancer? what to use to evaluate (2)?

A

postmenopausal bleeding

US
endometrial biopsy

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15
Q

what is the leading cause of death for women?

A

cardiovascular disease

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16
Q

what is the most effective treatment for menopausal symptoms?

A

estrogen replacement therapy

17
Q

what 2 symptoms does estrogen replacement therapy help treat?

A

hot flashes
atrophic vaginal changes

18
Q

what 4 lifestyle changes help manage hot flashes?

A

reduce core temperature
exercise
smoking cessation
stress management

19
Q

exogenous chemicals derived from plant precursors chemically processed to have the same chemical structure as endogenous hormones

A

bioidentical hormones

20
Q

an option for those unable to take estrogen due to breast cancer

name 4 specific meds

A

nonhormonal therapy

antidepressants
gabapentin
clonidine
methyldopa