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Flashcards in menopause Deck (28)
1

menopause is evidence by _____consecutive months with no menstrual bleeding

12

2

the period before menopause that is transition b/w reproductive to nonreproductive years

perimenopause

3

when the ovarian estrogen production fluctuates unpredictably

perimenopause

4

the time period during which the changes of menopause occur

climacteric

5

avg age of menopause

51

6

what happens to ovaries during menopausal transition

ovarian follicles become resistance to FSH stimulation

7

loss of PMS sx in menopause is due to loss of what hormone?

progesterone

8

what is the cardinal sx of vasomotor instabilty assc'd with perimenopause

hot flash

9

#1 morbidity in menopausal women

osteoporosis

10

best way to assess for osteoporosis

DEXA

11

normal DEXA T score

under -1 SD

12

DEXA T score indicative of osteoporisis

>-2.5 SD

13

what type of tx can be used to slow osteoporosis

estrogen

14

estrogen aids in osteoporosis by ____osteoclast activity

decreasing

15

when to screen for osteoporosis before age 65 (7)

1. h/o fragility fracture
2. weight under 127 lbs
3. medical causes of bone loss
4. parental h/o hip fracture
5. current smoker
6. alcoholism
7. RA

16

#1 cause of morality in menopausal women

CV disease

17

if a woman has a uterus, how to tx menopause

estrogen + progesterone

18

if a woman has NO uterus, how to tx menopause

estrogen

19

relationship b/w standard HRT and endometrial hyperplasia

incr unless progestin is added

20

relationship b/w standard HRT and breast cancer

slight risk incr

21

relationship b/w standard HRT and HTN

none

22

relationship b/w standard HRT and stroke/MI

slight risk incr

23

relationship b/w standard HRT and venous thrombosis

2x risk incr

24

hormone tx should be used for how long?

under 5 yrs

25

recommended amt Ca

1200-1500 mg

26

SERMS have estrogen like effect on____ and ____

lipids and bones

27

when menopause occurs spontaneously before age 40

premature ovarian failure

28

tx of premature ovarian failure

HRT immediately