Menopause

Question 1

Does estrogen increase or decrease in menopause

Answer 1

Decrease

Question 2

When do you want to consider a premature overian failure

Answer 2

If pt goes through menopause before the age of 40

Question 3

Is FSH and LH increased or decreased in menopause

Answer 3

Increased

Question 4

What sx might someone have who is going through menopause

Answer 4

Hot flashes (Most common sx) 
Night sweats 
Mood changes
Sleep disturbances 
Memory changes 
Osteoporosis 
Cardiovascular changes

Question 5

When can you diagnose menopause

Answer 5

12 months of amenorrhea

Question 6

What will FSH be after menopause

Answer 6

> 30

Question 7

What can be used to treat menopausal sx

Answer 7

HRT- estrogen

Question 8

What is the best treatment for hot flashes

Answer 8

Estrogen

Question 9

What can unopposed estrogen lead to

Answer 9

Endometrial hyperplasia and increased risk of endometrial cancer

Question 10

If a women wants to be put on HRT for her menopauseal sx and she still has a uterus what else do you need to put her on

Answer 10

Progesterone alone with the estrogen

Question 11

What else can be given for treatment of menopause besides HRT

Answer 11

SSRI/SNRI
Gabapentin
Clonidine

Question 12

What are some lifestyle modifications that you should try first before starting HRT for a menopausal women

Answer 12

Reduce temp, use fans, healthy diet and exercsie, limit caffine, and manage/reduce stress