Menopause & Infertility

Question 1

Induced menopause

Answer 1

• Cessation of menstruation following oophorectomy, chemo, radiation

Question 2

Vasomotor symptoms

Answer 2

• Recurrent, transient flushing
• Warmth & intense heat in upper body & face
• Night, 75% perimenopausal women have
• Change in hypothalamic set point

Question 3

Vasomotor symptoms- Tx

Answer 3

Estrogen

Question 4

Atrophic vaginitis- Tx

Answer 4

• Lubricants

- Estrogen

Question 5

Atrophic vaginitis- Eti/sx

Answer 5

• Thinning of vaginal epithelium
• Minimal trauma leads to bleeding
• Petechiea & brownish discharge
• Vaginal burning, soreness, dyspareunia, and a thin watery or serosanguineous discharge

Question 6

Menopause

Answer 6

• Cessation of menses 12 months
• Loss of follicular fxn
• Ave age = 51
• Assoc with vasomotor sx, sleep disturbances, vag. sx

Question 7

HRT- Breast CA

Answer 7

• Contraindicated

- May stimulate growth of malignant cells, increasing risk of recurrence

Question 8

HRT- Osteoporosis

Answer 8

• Use other agents first, only if can’t tolerate or already taking for menopause sx
• Low dose to prevent osteoporosis