Menopause and Hormone Therapy
what is the gold standard for treatment of hot flashes - ANShormone therapy
does hormone therapy cause breast cancer - ANSno
lack of estrogen in the vaginal and urethral area causes an increase in what complications -
ANSUTI
Hormone therapy is effective at the prevention of what - ANSosteoporosis
If a women has a family history of breast cancer is this a contraindication for starting hormone
therapy - ANSno
does menopause affect lipid levels - ANSyes
Should you discourage the use of hormone therapy in postmenopausal women - ANSno
defined as the span of time from puberty to perimenopause - ANSpremenopause
defined as the span of time that begins with the onset of menstrual cycle changes and other
menopause s/s and extend through menopause to 1 year after menopause -
ANSperimenopause
when does the time frame known as perimenopause begin - ANSwhen a pt begins experiencing
menstrual cycle changes and other menopause related s/s
who long does the perimenopause period usually last - ANS6-10 years
perimenopause begins with the changing of the menstraul cycle and menopause s/s and
continues until when - ANSthrough menopause and 1 year after menopause
what is another name for the peri menopause period - ANSmenopause transitions (MT)
defined as the the final menstrual period which can be confirmed after going 12 consecutive
months without a period - ANSmenopause
when can you diagnose menopause - ANSafter 12 consecutive months without a period
defined as the span of time after menopause - ANSpost menopause
,what does NAMS stand for - ANSnorth america menopause society
what is the average age of menopause - ANS51
range 45-55
during menopause what levels decrease - ANS- decrease in ovarian follicular activity
- decrease in estrogen and progesterone
during menopause what levels rise - ANS- FSH increase 10-20 times
- LH levels rise 3 times
is progesterone measurable during postmenopause - ANSno
after menopause estrogen levels are available from what other sources - ANS- ovaries
- adrenal glands
- liver
- fat cells
after menopause estrogen is available from other sources such as the ovaries in what forms -
ANS- androstenedione
- testosterone
after menopause estrogen is available from other sources such as the adrenal glands in what
from - ANS- androstenedione
estrogen is converted in the liver and fat cells to what form - ANSestrone
high levels of LH after menopause cause cells in the ovary to produce what two hormones -
ANS- androestenedione
- testosterone
what 3 estrogens circulate in the body - ANS1. 17 beta estradiol
2. estrone
3. estriol
what is the most biologically active form of estrogen that circulates in the body - ANS17 beta
estradiol
very short acting estrogen that is the least biologically active estrogen in circulation - ANSestriol
what are some factors that affect the age of menopuase - ANS- heredity
- age of menarche
- smoking
, - altitude
- nutrition
- high vmi
- non contraceptive hormone use like lupron
- hx osteoporosis
- hx autoimmune dx
- hx chemo/radiation
if a pt has a late menarch what can you tell them about when they may go into menopause -
ANSearly
if a pt has an early menarch what can you tell them about when they may go into menopause -
ANSlate
during perimenopause a woman may begin to experience disturbances in her menstrual pattern
which may include - ANS- dysfunctional uterine bleeding
- irregular bleeding
- variation in length of cycles
during perimenopause a woman may begin to not variations in the length of her cycles usually -
ANSshortened
what are the 3 main s/s of perimenopause - ANS- disturbance in menstrual pattern
- vasomotor insability
- atrophic conditions
what is that most commonly reported vasomotor s/s experienced during peri menopause -
ANShot flashes
during peri menopause a woman may experience atrophic changes such as - ANSvaginal
itching, dryness, irritation, bleeding with intercourse, dyspareunia
during peri menopause a woman will under go atrophic changes causing the PH to what and
lactobacilli to what - ANSPH increases
lactobacilli decreases
most women experience menstrual cycle changes aprox how many years before menopause
occurs - ANS4-8 years
if a pt experiences vaso motor s/s early in peri menopause will their s/s tend to last longer or be
shorter - ANSlast longer
if a pt dosent begin to experience vasomotor s/s until the onset of post menopause will they
experience these symptoms longer or shorter - ANSshoert
what is the gold standard for treatment of hot flashes - ANShormone therapy
does hormone therapy cause breast cancer - ANSno
lack of estrogen in the vaginal and urethral area causes an increase in what complications -
ANSUTI
Hormone therapy is effective at the prevention of what - ANSosteoporosis
If a women has a family history of breast cancer is this a contraindication for starting hormone
therapy - ANSno
does menopause affect lipid levels - ANSyes
Should you discourage the use of hormone therapy in postmenopausal women - ANSno
defined as the span of time from puberty to perimenopause - ANSpremenopause
defined as the span of time that begins with the onset of menstrual cycle changes and other
menopause s/s and extend through menopause to 1 year after menopause -
ANSperimenopause
when does the time frame known as perimenopause begin - ANSwhen a pt begins experiencing
menstrual cycle changes and other menopause related s/s
who long does the perimenopause period usually last - ANS6-10 years
perimenopause begins with the changing of the menstraul cycle and menopause s/s and
continues until when - ANSthrough menopause and 1 year after menopause
what is another name for the peri menopause period - ANSmenopause transitions (MT)
defined as the the final menstrual period which can be confirmed after going 12 consecutive
months without a period - ANSmenopause
when can you diagnose menopause - ANSafter 12 consecutive months without a period
defined as the span of time after menopause - ANSpost menopause
,what does NAMS stand for - ANSnorth america menopause society
what is the average age of menopause - ANS51
range 45-55
during menopause what levels decrease - ANS- decrease in ovarian follicular activity
- decrease in estrogen and progesterone
during menopause what levels rise - ANS- FSH increase 10-20 times
- LH levels rise 3 times
is progesterone measurable during postmenopause - ANSno
after menopause estrogen levels are available from what other sources - ANS- ovaries
- adrenal glands
- liver
- fat cells
after menopause estrogen is available from other sources such as the ovaries in what forms -
ANS- androstenedione
- testosterone
after menopause estrogen is available from other sources such as the adrenal glands in what
from - ANS- androstenedione
estrogen is converted in the liver and fat cells to what form - ANSestrone
high levels of LH after menopause cause cells in the ovary to produce what two hormones -
ANS- androestenedione
- testosterone
what 3 estrogens circulate in the body - ANS1. 17 beta estradiol
2. estrone
3. estriol
what is the most biologically active form of estrogen that circulates in the body - ANS17 beta
estradiol
very short acting estrogen that is the least biologically active estrogen in circulation - ANSestriol
what are some factors that affect the age of menopuase - ANS- heredity
- age of menarche
- smoking
, - altitude
- nutrition
- high vmi
- non contraceptive hormone use like lupron
- hx osteoporosis
- hx autoimmune dx
- hx chemo/radiation
if a pt has a late menarch what can you tell them about when they may go into menopause -
ANSearly
if a pt has an early menarch what can you tell them about when they may go into menopause -
ANSlate
during perimenopause a woman may begin to experience disturbances in her menstrual pattern
which may include - ANS- dysfunctional uterine bleeding
- irregular bleeding
- variation in length of cycles
during perimenopause a woman may begin to not variations in the length of her cycles usually -
ANSshortened
what are the 3 main s/s of perimenopause - ANS- disturbance in menstrual pattern
- vasomotor insability
- atrophic conditions
what is that most commonly reported vasomotor s/s experienced during peri menopause -
ANShot flashes
during peri menopause a woman may experience atrophic changes such as - ANSvaginal
itching, dryness, irritation, bleeding with intercourse, dyspareunia
during peri menopause a woman will under go atrophic changes causing the PH to what and
lactobacilli to what - ANSPH increases
lactobacilli decreases
most women experience menstrual cycle changes aprox how many years before menopause
occurs - ANS4-8 years
if a pt experiences vaso motor s/s early in peri menopause will their s/s tend to last longer or be
shorter - ANSlast longer
if a pt dosent begin to experience vasomotor s/s until the onset of post menopause will they
experience these symptoms longer or shorter - ANSshoert
