Menopause

Question 1

what causes Menopause?

Answer 1

Permanent loss of estrogen

Question 2

What is the average age of Menopause in the US?

Answer 2

51

Question 3

How does Menopause start?

Answer 3

Irregular menstrual bleeding: Oocytes produce less estrogen and progesterone causing LH and FSH to start to rise

Question 4

What are common symptoms of Menopause?

Answer 4

Menstrual irregularity
Sweats and Hot flashes
Mood changes
Dyspareunia: pain during sex

Question 5

What are common physical exam findings of Menopause?

Answer 5

Atrophic vaginitis
Decrease in breast size
Vaginal and Cervical Atrophy

Question 6

How is menopause diagnosed?

Answer 6

Clinical presentation
-Increased FSH is diagnostic

Question 7

What is HRT indicated for?

Answer 7

Short-term symptomatic relief and prevention of osteoporosis

Question 8

What can be used to treat depression and some vasomotor symptoms?

Answer 8

SSRIs

Question 9

What can be used to treat vaginal atrophy and dyspareunia?

Answer 9

Topical Estrogen Cream

Question 10

What are contraindications to HRT?

Answer 10

Estrogen-dependent carcinoma: Breast or endometrial

Hx of PE or DVT