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Menopause Question with Correct Answers
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Menopause Question with Correct AnswersWhich 2 nonpharmacologic treatments are HIGHLY recommended by
the North American Menopause Society (NAMS) to treat VMS? Correct
Ans ✓✓ Cognitive behavioral therapy, clinical hypnosis
What other nonpharmacologic options are used to treat VMS? Correct
Ans ✓✓ Temperature control (colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
Paced respiration (slowed down breathing)
What are vasomotor symptoms? Correct Ans ✓✓ Hot flushes and night
sweats
What are the non-VMS of menopause? Correct Ans ✓✓ Dyspareunia,
vaginal dryness, mood changes, sleep disturbances, concentration and
memory issues, arthralgia
If patient has a uterus, you must give them Correct Ans ✓✓ estrogen +
progestin combo
If patient does NOT have a uterus, you can give them Correct Ans ✓✓
estrogen alone
, What are the 3 main differences in estrogen of transdermal estrogens?
Correct Ans ✓✓ Lower VTE risk
No impact on triglycerides
Potential lower stroke risk, so lower blood clot risk
What are the 2 main differences in estrogen of oral estrogens? Correct
Ans ✓✓ Increases triglycerides
Potential for decreased libido
What is the Women's Health Initiative (WHI)? Correct Ans ✓✓ Clinical
study started in 1991. Studied the use of conjugated equine estrogens
(CEE) and medroxyprogesterone acetate (MPA) in women with and
without a uterus
What was the most important "shocking" result from the WHI? Correct
Ans ✓✓ Estrogen + progestin combo resulted in an increased risk of
breast cancer
What was the problem with how the WHI ended? Correct Ans ✓✓
There was some bias in the study, since it stopped early. Upon further
investigation 18 years later, increased mortality was not associated with
hormone therapy. Women would have less side effects over time
When is it considered safe to start menopause hormone therapy (MHT)
in women? Correct Ans ✓✓ Likely safe to start in patients with no
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