GYN - Menopause
period prior to and after menopause - ANS-Perimenopause
period of waning ovarian function when a woman passes through time of reproductive
yrs into menopause - ANS-Climacteric
Explain surgical menopause - ANS-When surgeons remove ovaries like in a complete
hysterectomy - manifestations are much more severe than regular menopause
average age of menopause - ANS-51
Which hormone has a major drop in menopause? - ANS-Estrogen
Which hormone increases in menopause? - ANS-FSH
living at high altitudes, being thin, family Hx and smoking may effect menopause how? -
ANS-It will hasten its onset
OC use, age of menarche, height, parity does or does not effect menopause onset? -
ANS-NO EFFECT
any post menopausal estrogen is not made by ovaries, it is made by - ANS-conversion
from androstenedione from adrenals
While menopause testing is unnecessary, what would you see if you did look at blood
work? - ANS-On day 2 or 3 of cycle, see increased FSH >50 and estradiol <50
*Amennorhea x one year!
Why is depression a DDX of menopause - ANS-Around that age, women are sort of
losing their womanly role because all their children are grown up and moved out, feel
loss of purpose and not sure what to do with themself after all those years raising
children
name 4 differentials of menopause - ANS-thyroid disease, anxiety, depression, PMS
What are some sleep disturbances of menopause - ANS-insomnia, night sweats,
interrupted sleep pattern
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