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