Menopause and Hormone Therapy Flashcards
What is treatment of menopause symptoms based upon?
Symptoms (not levels)
Why use combination products for women with intact uterus?
Progestin sloughs off endometrial lining.
When can you use estrogen only hormone therapy?
Post-hysterectomy
What is the risk of we are trying to prevent by treating with the correct hormones?
Uterine CA
Why are topicals and gels preferred for estrogen products?
First pass effect can stimulate the production of triglycerides, increase clotting factor production.
Local preparations such as vaginal creams or tablets can be used for women experiencing what effects of menopause?
Vulvular/vaginal atrophy
True of false:
Estrogen and progestin are not indicated for the prevention of cardiovascular disease.
True
Are bioidentical hormones safer than the commercial preparations?
No
In prescribing hormone therapy, _____ doses for the _____ amount of time.
Lowest, shortest
What type of anti-depressants can help with menopause?
SSRIs and SNRIs
Antidepressants work in a ______ dose and a _______ time frame for hot flashes as compared to antidepressant effects.
Lower, shorter
Gabapentin and clonidine for hot flashes should be dosed at ______.
Bedtime
