Which topical vaginal estrogen has the highest dose? -
....ANSWER...the vaginal rings
FEMRING IS THE HIGHEST
Most common cause of vulvovaginitis? -
....ANSWER...BV
post menopause burning and diffuse yellow/brown
discharge and dyspareunia that does not respond to local
ET? - ....ANSWER...desquamative inflammatory vaginitis.
treat different with clindamycin or hydrocortisone+ET
What hormones are associated with sexual desire in
women? - ....ANSWER...circulating androgens
,2|Page
Women who have had a BSO experience an abrupt and
persistent decline in what hormone? -
....ANSWER...circulating androgen levels
HSDD and FSAD were combined into a single dysrunction
called - ....ANSWER...female sexual interest/arousal
disorder
HSDD treatments - ....ANSWER...flibanserin and
bremelanotide
FGAD treatments (genital arousal disorder) -
....ANSWER...L-arginine, topical alprostadil, wellbutrin,
oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
FOD (orgasmic disorder) treatments -
....ANSWER...directed masturbation is most researched
behavioral treatment.
Does systemic ET cause fibroids to resume growth? -
....ANSWER...Rarely. They often shrink after menopause.
,3|Page
What is true about cognition and menopause? -
....ANSWER...Difficulty concentrating and remembering
are common.
What is true about cognition and surgical menopause -
....ANSWER...memory for verbal information can be
compromised immediately after surgical menopause,
especially if it is before the typical age of mesopause.
Meta analysis of RCTs have shown small benefit of what
diet/exercise for global cognition and memory? -
....ANSWER...Mediterranean diet with olive oil and tai chi
exercise helps with global cognition
Mediterranean diet with olive oil and isoflavone
supplements helps with memory.
effect of HRT on cognition - ....ANSWER...small or no
overall effect on cognition
What HRT can increase your risk for dementia based on
the WHIMS study in 65+ year old healthy women? -
....ANSWER...EPT replacement was shown to double the
risk of developing dementia.
, 4|Page
There was no significant increased risk in ET alone.
this is why HRT is not recommended after 65 for primary
prevention of dementia
3 reasons supporting the idea that HRT in early menopause
may decrease a woman's chance of developing alzheimer's
disease? - ....ANSWER...1. Observational studies imply it
2. Clinical trial of transdermal estradiol during the early
postmenopause stage is associated with reductions in AD
pathology.
3. 18 year cumulative follow up data from WHI found that
women randomized to ET had significantly lower risk of
dying from AD or dementia compared with women
randomized to receive placebo.
Migraine headache and pregnancy -
....ANSWER...typically migraines improve-estrogen levels
stabilize
Migraine without aura after menopause -
....ANSWER...usually decrease with natural menopause
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