Menopause

Question 1

Definition of menopause?

Answer 1

No period for 6-12 months. ’Climacteric’…not a disease. Deceased Estrogen: main endocrine change.

Question 2

When do you refer to a physician?

Answer 2

If bleeding after 12 months of no period - Refer to Doctor.

Question 3

How many ovarian follicles:

1. in fetus?
2. At birth?
3. At menarche?
4. At menopause?

Answer 3

Ovarian follicles, depletion over a lifetime:
6,000,000 in the fetus
600,000 at birth
300,000 at menarche
10,000 at menopause

Question 4

Post menopause, what becomes the main circulating form of estrogen derived from adipose tissue?

Answer 4

Estrone

Question 5

Ovaries are the main source of “what” during reproductive years?

Answer 5

Estradiol, a form of estrogen

Question 6

What are Western Perpective changes in:

1. Brain
2. Heart
3. Blood Vessels
4. Bone
5. Skin
6. Vagina

Answer 6

Brain:  hot flashes, depression, anxiety, insomnia, poor memory and concentration
Heart:  coronary heart disease
Blood vessels:  arteriosclerosis
Bone:  osteoporosis
Skin:  thinning, slow healing, itching
Vagina:  vaginal dryness and atrophy