What is menopause? Correct Ans ✓✓ clinical absence of menses for 12
months. THe result of normal aging an the result of loss of ovarian
follicular function
-it is the end of the female reproductive age
What is the average age of menopause? Correct Ans ✓✓ 48-55 years
average age is 51(notes) 52 (book)
T or F
Women overall see menopause as a positive change Correct Ans ✓✓
True
What are classic an other s/s of menopause? Correct Ans ✓✓ Classic
symptoms:
• Change in menstrual cycle pattern (during perimenopause)
• Vasomotor symptoms (hot flashes & night sweats)
• Vulvovaginal symptoms, dyspareunia
• Sleep disturbances
Other symptoms sometimes associated with menopause:
• Cognitive concerns (memory, concentration)
• Psychological symptoms (depression, anxiety, moodiness)
,What classifies premature menopause? Correct Ans ✓✓ Premature
menopause occurs before age 40
occurs spontaneously
What is induced menopause? Correct Ans ✓✓ cessation of menstruation
that follows bilateral oophorectomy (with or without
hysterectomy), chemotherapy, or pelvic radiation
therapy
What is POI Correct Ans ✓✓ Primary ovarian insufficiency• A
continuum of impaired ovarian function (intermittent
to permanent) usually with extended periods of
amenorrhea in women younger than age 40
(previous known as POF-premature ovarian failure-is not permanent)
What is the length of perimenopause? Correct Ans ✓✓ -usually last 2-8
years prior to last period
-begins with variation in cycle length (>7 days) associated with rise in
FSH
-variable s/s
-ends 1 year after final menstrual period
Women report more symptoms during perimenopause or menopause?
Correct Ans ✓✓ peri-menopause
, How long is the postmenopausal period ? Correct Ans ✓✓ 1/3 to 1/2 of
lifespan of north american women
What controls menses Correct Ans ✓✓ The normal menstrual cycle is
controlled via a complex
interplay of the hypothalamic-pituitary-ovarian axis
What is the end result in the hypothalmic pituitary ovarian access that
represents menopause Correct Ans ✓✓ Estrogen and progesterone
remain low, an FSH an LH remain high
What happen to serum hormone levels at menopause? Correct Ans ✓✓ -
decrease Circulating estrogens
-decrease Ratio of estrogen to androgen
-decrease Sex hormone-binding globulin secretion
-increased Peripheral aromatization of DHEA to estrone
-Reversal of estradiol (E2) to estrone (E1) ratio
-No significant change in testosterone levels
How does aging affect weight gain Correct Ans ✓✓ -women gain 5lbs
due to aging an lifestyle.
-decrease in activity
-decrease in muscle mass
-in midlife adipose tissues is redistributed to the middle