Therapeutics Menopause
Is contraception needed during perimenopause? - ANS-Yes - pregnancy can occur
What are symptoms of menopause? - ANS-- Hot flashes/night sweats
- Mood changes
- Vaginal dryness
- Sleep disturbances
- Concentration and memory loss
- Dyspareunia
- Arthralgia
What are the two most effective forms of non-pharmacological treatment for menopause
VMS per NAMS? - ANS-- Cognitive behavior therapy
- Clinical hypnosis
What are other, less effective forms of non-pharmacological treatment for treatment of
menopause related VMS per NAMS? - ANS-- Temp control
- Yoga/relaxation
- Avoid spicy foods, chocolate
- Exercise
- Acupuncture
- Paced respiration
(** try all of these for three months)
What are the two examples of estrogens used in MHT? - ANS-Conjugated equine
estrogens (CEE) & Estradiol
What are the two examples of progestogens used in MHT? - ANS-Micronized
progesterone (MP) & Medroxyprogesterone acetate (MPA)
What is a caution with micronized progesterone? - ANS-Use in caution with peanut
allergy
What must a woman have to have in order to get progesterone treatment? - ANS-MUST
have an intact uterus
What effect does transdermal estrogen have on VTE risk? - ANS-Lowers VTE risk
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