Menopause Flashcards

1
Q

How many women reach menopause each year in the U.S.?

A

Approximately 2 million.

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2
Q

What is the average age of natural menopause in North America?

A

Age 52.

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3
Q

What psychological and physical changes often occur during midlife?

A

Adjusting to mortality, adapting family relationships, career changes, health focus, and psychological growth.

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4
Q

How is natural menopause defined?

A

Cessation of menstruation for at least 12 consecutive months due to changes in the hypothalamic–pituitary–ovarian axis.

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5
Q

What are the three stages surrounding menopause?

A

Perimenopause: 2 to 8 years prior to the last period.
Early postmenopause: First 5 years after menopause.
Late postmenopause: 6+ years after the last period.

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6
Q

What factors influence the age of menopause?

A

Genetics, smoking, body size, health status, and socioeconomic factors.

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7
Q

What is induced menopause?

A

Menopause caused by surgical removal of ovaries or ovarian function ablation through medication, chemotherapy, or radiation.

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8
Q

What is primary ovarian insufficiency (POI)?

A

Menopause-like symptoms occurring before age 40, which may be temporary.

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9
Q

What are common menopause symptoms?

A

Hot flashes, sleep disruption, urogenital changes, sexual function changes, and reduced libido.

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10
Q

How do cultural backgrounds influence menopause symptoms?

A

Women from different cultural or racial backgrounds report varying symptoms and severity levels.

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11
Q

What are key health risks for women after menopause?

A

Obesity: Requires reduced calorie intake and more activity.
Cardiovascular disease (CVD): Increased risk due to changes in cholesterol levels.
Type 2 diabetes: Risk increases with age and lifestyle factors.
Osteoporosis: Low bone density increases fracture risk.
Cancer: Risks increase with age, especially for lung, breast, and colorectal cancers.
Thyroid disease: Similar symptoms to menopause.

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12
Q

Why is depression a concern during midlife?

A

Hormonal fluctuations and stressors like financial concerns, relationships, and health issues can contribute.

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13
Q

What lifestyle changes can help manage menopause symptoms?

A

Dietary changes: Avoid hot flash triggers; drink more water.
Exercise: Reduces symptom frequency.
Vaginal lubricants: Alleviate dryness.
Smoking cessation: Behavioral interventions help.
Stress management: Individualized approaches.
Mental stimulation: Maintains cognitive function.

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14
Q

What is the most effective therapy for severe menopause symptoms?

A

Hormone therapy (HT) for moderate to severe vasomotor symptoms.

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15
Q

What are the types of HT protocols?

A

Estrogen-only therapy: For women without a uterus.
Estrogen–progestogen therapy: For women with a uterus.
Estrogen–androgen therapy: No FDA-approved options currently exist for women.

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16
Q

How long does it take for vasomotor symptoms to improve after starting HT?

A

Symptoms typically improve within 2 to 6 weeks.

17
Q

What complementary and alternative medicine (CAM) options exist for menopause?

A

Herbal supplements: Not FDA-regulated; effectiveness varies.
Isoflavones: Plant-derived compounds with estrogenic properties.
Acupuncture: May help with vasomotor symptoms.