Menopause

Question 1

how long must you have no menses to have menopause?

Answer 1

12 mos

Question 2

what is perimenopause?

Answer 2

irregular cycles

Question 3

when is stage 1 of perimenopause?

Answer 3

13 years prior to menopause

Question 4

when is stage 2 of menopause?

Answer 4

1-8 yrs before menopause

Question 5

what is median age of menopase?

Answer 5

51

Question 6

what happens to inhibin levels in perimenopause 1?

Answer 6

decreased

Question 7

what happens to FSH levels in perimenopause 1?

Answer 7

increased day 3

Question 8

what happens to LH levels in perimenopause 1?

Answer 8

normal

Question 9

what happens to estrogen levels in perimenopause 1?

Answer 9

increased

Question 10

what happens to cycle length in perimenopause 1?

Answer 10

shortened

Question 11

what happens to inhibin levels in perimenopause 2?

Answer 11

decreased

Question 12

what happens to estrogen/progesterone levels in perimenopause 2?

Answer 12

decreased

Question 13

what happens to FSH/LH levels in perimenopause 2?

Answer 13

increased

Question 14

what happens to cycle length in perimenopause 2?

Answer 14

increased

Question 15

what happens to estrogen and progesterone in menopause?

Answer 15

decreased

Question 16

what happens to LH/FSH in menopause?

Answer 16

increased

Question 17

what happens to SHBG in menopause?

Answer 17

decreased

Question 18

what happens to androgen/estrogen ration in menopause?

Answer 18

increased

Question 19

what is vasomotor instability?

Answer 19

hot flashes/night sweats

Question 20

how can we manage menopause vasomotor instability?

Answer 20

hormone therapy…estrogen

Question 21

what are the atrophic skin changes in menopause?

Answer 21

itching/burning/irritaiton of genitals
vaginal bleeding and frequent UTIs
vaginal DRYNESS

Question 22

why is there atrophic skin changes in menopause?

Answer 22

decreased estrogen leads to decreased collagen

Question 23

how does hormone therapy change LDL, HDL, triglyceride and total cholesterol levels?

Answer 23

low LDL
high HDL
high triglycerides
low total cholesterol

Question 24

how long can you give hormone replacement therapy?

Answer 24

max is 5 years

Question 25

why is there a max duration of hormone therapy?

Answer 25

increased breast cancer risk

Question 26

how are LDL and total cholesterol affected by menopause?

Answer 26

both increase

Question 27

when is it considered premature ovarian failure to have menopause?

Answer 27

before age 40

Question 28

what will FSH and estrogen levels be in premature ovarian failure?

Answer 28

low estrogen and high FSH

Question 29

what is the most common cause of premature ovarian failure?

Answer 29

Unkown cause

Question 30

what is a common genetic issue cause of premature ovarian failure?

Answer 30

fragile X mutation

Question 31

what are some other causes of premature ovarian failure to consider?

Answer 31

chromosome abnormalities | autoimmune diseases

Question 32

what autoimmune diseases can cause premature ovarian failur?

Answer 32

Thyroid disesae | anti adrenal antibodies