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    5 Menopause

    Uploaded by

    Jc Mae Cuadrillero
    This document discusses menopause and provides a clinical case study. It begins with learning objectives about defining menopause, describing associated changes, symptoms, management options, counseling patients, and long-term changes. A 53-year-old patient presents with hot flashes, emotional issues, insomnia, and dyspareunia. Her menstrual periods have become irregular over the past two years. She is at risk for osteoporosis due to smoking, lack of exercise, family history, and being postmenopausal. The document concludes with discussion questions about diagnosing menopause, her osteoporosis risks, treating atrophic vaginitis, counseling on therapies, and recommended tests.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    5 Menopause

    Uploaded by

    Jc Mae Cuadrillero
    27 views1 page
    This document discusses menopause and provides a clinical case study. It begins with learning objectives about defining menopause, describing associated changes, symptoms, management options, counseling patients, and long-term changes. A 53-year-old patient presents with hot flashes, emotional issues, insomnia, and dyspareunia. Her menstrual periods have become irregular over the past two years. She is at risk for osteoporosis due to smoking, lack of exercise, family history, and being postmenopausal. The document concludes with discussion questions about diagnosing menopause, her osteoporosis risks, treating atrophic vaginitis, counseling on therapies, and recommended tests.

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    Original Title

    5 MENOPAUSE

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    This document discusses menopause and provides a clinical case study. It begins with learning objectives about defining menopause, describing associated changes, symptoms, management options, counseling patients, and long-term changes. A 53-year-old patient presents with hot flashes, emotional issues, insomnia, and dyspareunia. Her menstrual periods have become irregular over the past two years. She is at risk for osteoporosis due to smoking, lack of exercise, family history, and being postmenopausal. The document concludes with discussion questions about diagnosing menopause, her osteoporosis risks, treating atrophic vaginitis, counseling on therapies, and recommended tests.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    27 views1 page

    5 Menopause

    Uploaded by

    Jc Mae Cuadrillero
    This document discusses menopause and provides a clinical case study. It begins with learning objectives about defining menopause, describing associated changes, symptoms, management options, counseling patients, and long-term changes. A 53-year-old patient presents with hot flashes, emotional issues, insomnia, and dyspareunia. Her menstrual periods have become irregular over the past two years. She is at risk for osteoporosis due to smoking, lack of exercise, family history, and being postmenopausal. The document concludes with discussion questions about diagnosing menopause, her osteoporosis risks, treating atrophic vaginitis, counseling on therapies, and recommended tests.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    MODULE 5: REPRODUCTIVE ENDOCRONOLOGY

    TOPIC 5: MENOPAUSE

    Rationale: Women may spend much of their lives in the postmenopausal years. Physicians should
    understand the physical and emotional changes caused by menopause.

    Objectives: Intended Learning Outcomes that the student should be able to:

    A. Define menopause and describe changes in the hypothalamic-pituitary- ovarian axis


    associated with perimenopause/menopause
    B. Describe symptoms and physical exam findings related to perimenopause/menopause
    C. Discuss management options for patients with perimenopausal/menopausal symptoms
    D. Counsel patients regarding the menopausal transition
    E. Discuss long-term changes associated with menopause

    MENOPAUSE
    Student Handout

    CLINICAL CASE:

    A 53-year-old, G3P3, whose last menstrual period was 4 months ago presents to the office with hot
    flashes, emotional lability, and insomnia. She experiences the hot flashes 2-3 times per day and
    occasionally at night. She has been having trouble sleeping and is extremely fatigued. Since age 14, her
    periods have been regular until 2 years ago, when they began to space out to every 2-3 months. She is
    sexually active and recently has noted some dyspareunia. The patient works as a receptionist and rarely
    exercises. She smokes 2 packs of cigarettes a day and drinks alcohol socially. She recently started taking
    a soy supplement. She does not have any pertinent gynecological, medical or surgical history. Her family
    history is significant for her mother sustaining a hip fracture at age 60 and a sister with breast cancer
    and high cholesterol. On examination, she has normal vital signs and she is 123 lbs and 5’4” tall. On
    pelvic examination, she has mildly decreased vaginal rugae and a pale, small cervix. No masses or
    tenderness are palpated on bimanual exam.

    Discussion Questions:

    1. What are the symptoms of menopause?


    2. How do you make the diagnosis of menopause?
    3. What are the patient’s risk factors for osteoporosis?
    4. How do you diagnose and treat atrophic vaginitis?
    5. How do you counsel a patient regarding estrogen and alternative therapies?
    6. What laboratory and diagnostic tests would you order for this patient?

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