L 14 Perimenopause, Menopause and Post-menopausal Disorders
Study online at https://quizlet.com/_jt9d51
1. menopause is the permanent cessation of 12
menstrual periods, determined retrospectively
after a woman has experienced _____ months
straight of amenorrhea without any other obvi-
ous pathologic or physiologic cause
2. what is the average age of menopause? 51.4 years
3. menopause = _______ estrogen, ________ FSH low
(high or low?)
high
4. perimenopause is when the "Menopausal tran- 4yrs
sition" begins, on average, ________ yrs before
the final menstrual period (FMP)
5. what are the characteristic sxs of peri- -irregular menstrual cycles
menopause?
-hormonal fluctuations
+ Hot flashes
Sleep disturbances
Mood symptoms
Vaginal dryness
6. early perimenopause is change over _____ days 7edys
in the intermenstrual interval
ex. from 25-35dys to 40-50dys
what are the FSH levels in perimenopause
FSH = variable, but typically high
7. Late perimenopause (lasts 1-3 or 4-5 yrs?). 1-3 yrs
, L 14 Perimenopause, Menopause and Post-menopausal Disorders
Study online at https://quizlet.com/_jt9d51
what are the characteristic findings with peri- -skipped cycles, episodes of amen-
menopause? orrhea
-hot flashes
8. *Transition from perimenopause to decrease
menopause is generally characterized by a
gradual __________ in menstrual bleeding*
9. what diagnostic labs to order for a woman NO dx evaluation needed!
> 45yrs with irregular menstrual cycles and
menopausal sx such as hot flashes, mood *FSH offers no additional informa-
changes, or sleep disturbance tion and may be misleading
10. what diagnostic labs to order for a woman 40 Evaluate for other causes of
to d45yrs with irregular cycles +/- menopause menopause:
symptoms?
-Serum hCG, prolactin, TSH, FSH
11. what diagnostic labs to order for a woman un- evaluation for POI, other causes:
der 40yrs?
-FSH, estradiol, TSH, serum hCG,
prolactin, testosterone
12. Symptoms of Perimenopause and Early Post- -hot flashes
menopausal Years (4) -depression/sleep disturbances
-cognitive changes
-GU syndrome of menopause
(GSM)
13. what is the MC symptom of menopause? hot flashes!
14. where are hot flashes felt? heat centered on the upper chest
and face --> generalized
, L 14 Perimenopause, Menopause and Post-menopausal Disorders
Study online at https://quizlet.com/_jt9d51
15. T/F: Hot flashes lasts 2-4min false
+/- profuse perspiration, palpitations, anxiety
occurs ONCE a day several times a day
16. SIGNIFICANT risk new-onset ______ during Peri- depression
menopause and Early Postmenopausal
when does risk decrease? by early menopause
17. sleep disturbances can occur in presence or hot flashes
absences of ________
18. GSM symptomes (2) Vulvovaginal atrophy
Urinary symptoms
19. how does decreased estrogen lead to Vulvo- Decreased estrogen = decreased
vaginal atrophy? blood flow to vagina/vulva = de-
creased vaginal lubrication/sexual
dysfunction (dryness, dyspareunia)
20. Treatment Options for menopause -Hormonal Replacement Therapy
(HRT) or Menopausal Hormonal
Therapy (MHT)
-or Non-hormonal Treatment Op-
tions
21. give 3 examples for HRT/MHT and why they are -Oral Contraceptive Pills (OCPs)
used (limited role- perimenopause)
-Estrogen-Progestin therapy
(any woman with intact uterus
to prevent endometrial hyperpla-
sia/cancer)
Study online at https://quizlet.com/_jt9d51
1. menopause is the permanent cessation of 12
menstrual periods, determined retrospectively
after a woman has experienced _____ months
straight of amenorrhea without any other obvi-
ous pathologic or physiologic cause
2. what is the average age of menopause? 51.4 years
3. menopause = _______ estrogen, ________ FSH low
(high or low?)
high
4. perimenopause is when the "Menopausal tran- 4yrs
sition" begins, on average, ________ yrs before
the final menstrual period (FMP)
5. what are the characteristic sxs of peri- -irregular menstrual cycles
menopause?
-hormonal fluctuations
+ Hot flashes
Sleep disturbances
Mood symptoms
Vaginal dryness
6. early perimenopause is change over _____ days 7edys
in the intermenstrual interval
ex. from 25-35dys to 40-50dys
what are the FSH levels in perimenopause
FSH = variable, but typically high
7. Late perimenopause (lasts 1-3 or 4-5 yrs?). 1-3 yrs
, L 14 Perimenopause, Menopause and Post-menopausal Disorders
Study online at https://quizlet.com/_jt9d51
what are the characteristic findings with peri- -skipped cycles, episodes of amen-
menopause? orrhea
-hot flashes
8. *Transition from perimenopause to decrease
menopause is generally characterized by a
gradual __________ in menstrual bleeding*
9. what diagnostic labs to order for a woman NO dx evaluation needed!
> 45yrs with irregular menstrual cycles and
menopausal sx such as hot flashes, mood *FSH offers no additional informa-
changes, or sleep disturbance tion and may be misleading
10. what diagnostic labs to order for a woman 40 Evaluate for other causes of
to d45yrs with irregular cycles +/- menopause menopause:
symptoms?
-Serum hCG, prolactin, TSH, FSH
11. what diagnostic labs to order for a woman un- evaluation for POI, other causes:
der 40yrs?
-FSH, estradiol, TSH, serum hCG,
prolactin, testosterone
12. Symptoms of Perimenopause and Early Post- -hot flashes
menopausal Years (4) -depression/sleep disturbances
-cognitive changes
-GU syndrome of menopause
(GSM)
13. what is the MC symptom of menopause? hot flashes!
14. where are hot flashes felt? heat centered on the upper chest
and face --> generalized
, L 14 Perimenopause, Menopause and Post-menopausal Disorders
Study online at https://quizlet.com/_jt9d51
15. T/F: Hot flashes lasts 2-4min false
+/- profuse perspiration, palpitations, anxiety
occurs ONCE a day several times a day
16. SIGNIFICANT risk new-onset ______ during Peri- depression
menopause and Early Postmenopausal
when does risk decrease? by early menopause
17. sleep disturbances can occur in presence or hot flashes
absences of ________
18. GSM symptomes (2) Vulvovaginal atrophy
Urinary symptoms
19. how does decreased estrogen lead to Vulvo- Decreased estrogen = decreased
vaginal atrophy? blood flow to vagina/vulva = de-
creased vaginal lubrication/sexual
dysfunction (dryness, dyspareunia)
20. Treatment Options for menopause -Hormonal Replacement Therapy
(HRT) or Menopausal Hormonal
Therapy (MHT)
-or Non-hormonal Treatment Op-
tions
21. give 3 examples for HRT/MHT and why they are -Oral Contraceptive Pills (OCPs)
used (limited role- perimenopause)
-Estrogen-Progestin therapy
(any woman with intact uterus
to prevent endometrial hyperpla-
sia/cancer)
