Menopause

Question 1

What is PERIMENOPAUSAL PERIOD?

Answer 1

PERIMENOPAUSAL PERIOD is the time during which reproductive function in a woman gradually ceases

Question 2

What is POSTMENOPAUSAL?

Answer 2

POSTMENOPAUSAL is considered one year after final menstrual period

Question 3

During perimenopause, __________ levels fall and ___________ levels rise.

Answer 3

During perimenopause, ESTROGEN levels fall and GONADOTROPIN (FSH & LH) levels rise.

Question 4

__________ can be given to help alleviate some symptoms of peri-menopause

Answer 4

LOW DOSE CONTRACEPTIVES can be given to help alleviate some symptoms of peri-menopause

Question 5

What symptoms are associated with PERIMENOPAUSE?

Answer 5

• Menstrual problems
• Increase in irritability
• Migraines
• Fatigue
• Poor concentration
• Loss of libido
• Inability to multi-task

Question 6

What are the long-term effects of MENOPAUSE?

Answer 6

• deterioration in vision
• poor skin elasticity
• heart disease
• poor bladder and bowel function
• vaginal dryness
• poor muscle tone or loss of muscle tone
• osteoporosis

Question 7

For hormone replacement therapy in menopause, treatment should be started __________ and is usually not used for __________

Answer 7

For hormone replacement therapy in menopause, treatment should be started SOON AFTER START OF MENOPAUSE and is usually not used for MORE THAN 5 YEARS.

Question 8

For hormone replacement therapy in menopause, if the woman HAS a uterus, she has to have __________.

If she does NOT have a uterus, she can take __________

Answer 8

For hormone replacement therapy in menopause, if the woman HAS a uterus, she has to have ESTROGEN AND PROGESTERONE.

If she does NOT have a uterus, she can take ESTROGEN ONLY

Question 9

HRT (hormone replacement therapy) for menopause can be administered by:

Answer 9

pill
transdermal patch
injection

Question 10

HRT for menopause reduces risk of developing __________ and other problems associated with menopause

Answer 10

HRT for menopause reduces risk of developing OSTEOPOROSIS and other problems associated with menopause

Question 11

Risks most associated with __________ include:

development of breast cancer, blood clots, and stroke

Answer 11

Risks most associated with HRT (hormone replacement therapy) include:

development of breast cancer, blood clots, and stroke

Question 12

__________ is a selective estrogen receptor modulator (SERMS) used for treatment of __________

Answer 12

RALOXIFENE is a selective estrogen receptor modulator (SERMS) used for treatment of MENOPAUSE

Question 13

Raloxifene decreases __________ and __________ with minimal effects on breast and uterine tissue.

Answer 13

Raloxifene decreases BONE LOSS and SERUM CHOLESTEROL with minimal effects on breast and uterine tissue.

Question 14

__________ and __________ are bisphosphonates which are used in menopause to decrease the risk for __________ and ___________ by __________.

Answer 14

ALENDRONATE and RISEDRONATE are bisphosphonates which are used in menopause to decrease the risk for OSTEOPOROSIS and ENHANCE BONE MINERAL DENSITY by SUPPRESSING RESORPTION.

Question 15

What is PAROXETINE?

Answer 15

PAROXETINE is an SSRI used in menopause for moderate to severe hot flashes

Question 16

What is CLONIDINE?

Answer 16

CLONIDINE causes vasodilation and decreased BP which can ease the symptoms of hot flashes during menopause

Question 17

What is GABAPENTIN?

Answer 17

GABAPENTIN is an anticonvulsant which relieves neuropathic pain and can be used to ease the symptoms of hot flashes during menopause

Question 18

What is BLACK COHOSH?

Answer 18

Some women use BLACK COHOSH as a complementary or alternative therapy for menopause. Caution patient not to take too much, as it works like aspirin and can thin the blood.

Question 19

A regular moderate program (3 - 4 times per week) of ___________ is recommended for women going through menopause.

Answer 19

A regular moderate program (3 - 4 times per week) of AEROBIC & WEIGHT-BEARING EXERCISES is recommended for women going through menopause.