Menopause Flashcards
During the upcoming week, several women over age 50 have appointments with you. What would be the recommended medication(s) to treat menopausal symptoms for each of the following patients?
A 54-year-old with vasomotor symptoms and insomnia, who recently had a cerebrovascular accident (state two)
Gabapentin or pregabalin
Goldstein S.An efficient tool for the primary care management of menopause..Can Fam Physician.2017;63:295-298
During the upcoming week, several women over age 50 have appointments with you. What would be the recommended medication(s) to treat menopausal symptoms for each of the following patients?
A 52-year-old who has hypertension, dyslipidemia, and type 2 diabetes, and who says she has been having mood issues since irregular menses started six months ago (state one)
Transdermal estrogen, SSRI or SNRI (preferred because of her comorbidities)
During the upcoming week, several women over age 50 have appointments with you. What would be the recommended medication(s) to treat menopausal symptoms for each of the following patients?
A 51-year-old who has a history of hysterectomy four years ago and no comorbidities, and who says she is experiencing vasomotor symptoms and vaginal dryness (state two)
Estrogen therapy (endometrial protection not required)
During the upcoming week, several women over age 50 have appointments with you. What would be the recommended medication(s) to treat menopausal symptoms for each of the following patients?
A 51-year-old who has no history of hysterectomy and no comorbidities, and who says she is experiencing vasomotor symptoms and vaginal dryness (state two)
Estrogen-progesterone therapy, tissue-selective estrogen complex
What are the contraindications to menopausal hormonal therapy? List 3.
Contraindications to MHT • Unexplained vaginal bleeding • Known or suspected breast cancer • Acute liver disease • Active thromboembolic diagnosis • Acute CVD • Recent cerebrovascular accident • Pregnancy
Goldstein S.An efficient tool for the primary care management of menopause..Can Fam Physician.2017;63:295-298
Which co-morbidities in the setting of menopausal symptoms warrant treatment with transdermal estrogen instead of oral estrogen?
Comorbidities • Diabetes mellitus • Hypertension • Smoking • Obesity • High lipid levels or CVD risk • Gallstones
Goldstein S.An efficient tool for the primary care management of menopause..Can Fam Physician.2017;63:295-298
What are non-hormonal treatment options for vasomotor symptoms of menopause? List 3.
Gabapentin Pregabalin SSRI SNRI Clonidine CBT Hypnosis
In perimenopausal women, what six questions should be asked to assess symptoms and determine appropriate treatment?
Any changes in your periods? Are you having any hot flashes? Any vaginal dryness or pain or any sexual concerns? Any bladder issues or incontinence? How is your sleep? How is your mood?
