HRT for Menopause Questions with Correct Answers
Why do we care about menopause? Correct Ans ✓✓ The symptoms are
bothersome for our patients
Symptoms of menopause Correct Ans ✓✓ *Vasomotor symptoms*
Irregular menses
Episodic amenorrhea
Sleep disturbances
Mood swings
*Vaginal dryness*
Depression
What are examples of vasomotor symptoms? Correct Ans ✓✓ Hot
flashes
Night sweats
FSH and menopause Correct Ans ✓✓ An elevated FSH level may
indicate a woman is experiencing menopause
FSH > 30 mIU/mL
Non Pharm Therapy for hot flashes Correct Ans ✓✓ Smoking cessation
Limit alcohol and caffeine
Limit hot beverages (e.g., coffee/tea, soups)
,Limit spicy foods
Keep cool, and dress in layers
Stress reduction (e.g., meditation, relaxation exercises)
Increase exercise
Paced respiration
How long should non pharm therapy be used for hot flashes? Correct
Ans ✓✓ 3 months
What's the big deal about about HRT? Correct Ans ✓✓ Go to therapy
for years
Most effective treatment option for alleviating moderate and severe
vasomotor and vaginal symptoms
US Preventive Services Task Force Correct Ans ✓✓ Not all post
menopausal women should be prescribed HRT
Individualized based on risk factors
Heart and Estrogen/Progestin Replacement Study (HERS) Correct Ans
✓✓ Women with established CHD were at an increased risk of
experiencing a myocardial infarction within the first year of HT
HT should not be recommended for the secondary prevention of CHD
, Women's Health Initiative (WHI) Correct Ans ✓✓ Increase the risk in
women with underlying CHD risk factors.
Increase Risk of breast cancer was also increased after a woman was on
combination estrogen and progestogen for approximately 3 years
*Should not be initiated or continued for the primary prevention of
CHD*
Follow Up: WHI Correct Ans ✓✓ Published data 10 years ago
HT has complex pattern of risk and benefits
Combination therapy associated with more of increased risks (e.g.,
myocardial infarction, stroke, deep vein thrombosis, breast cancer,
gallbladder disease)
(Caused many clinicians and patients to stop using hormone therapy)
WHI: Overall Correct Ans ✓✓ Landmark trial enrolled few women
younger than 60 years and few women who were within 10 years of
menopause onset
Menopause Treatment Guidelines Correct Ans ✓✓ 2017 Hormone
Therapy Position Statement of The North American Menopause Society
Why do we care about menopause? Correct Ans ✓✓ The symptoms are
bothersome for our patients
Symptoms of menopause Correct Ans ✓✓ *Vasomotor symptoms*
Irregular menses
Episodic amenorrhea
Sleep disturbances
Mood swings
*Vaginal dryness*
Depression
What are examples of vasomotor symptoms? Correct Ans ✓✓ Hot
flashes
Night sweats
FSH and menopause Correct Ans ✓✓ An elevated FSH level may
indicate a woman is experiencing menopause
FSH > 30 mIU/mL
Non Pharm Therapy for hot flashes Correct Ans ✓✓ Smoking cessation
Limit alcohol and caffeine
Limit hot beverages (e.g., coffee/tea, soups)
,Limit spicy foods
Keep cool, and dress in layers
Stress reduction (e.g., meditation, relaxation exercises)
Increase exercise
Paced respiration
How long should non pharm therapy be used for hot flashes? Correct
Ans ✓✓ 3 months
What's the big deal about about HRT? Correct Ans ✓✓ Go to therapy
for years
Most effective treatment option for alleviating moderate and severe
vasomotor and vaginal symptoms
US Preventive Services Task Force Correct Ans ✓✓ Not all post
menopausal women should be prescribed HRT
Individualized based on risk factors
Heart and Estrogen/Progestin Replacement Study (HERS) Correct Ans
✓✓ Women with established CHD were at an increased risk of
experiencing a myocardial infarction within the first year of HT
HT should not be recommended for the secondary prevention of CHD
, Women's Health Initiative (WHI) Correct Ans ✓✓ Increase the risk in
women with underlying CHD risk factors.
Increase Risk of breast cancer was also increased after a woman was on
combination estrogen and progestogen for approximately 3 years
*Should not be initiated or continued for the primary prevention of
CHD*
Follow Up: WHI Correct Ans ✓✓ Published data 10 years ago
HT has complex pattern of risk and benefits
Combination therapy associated with more of increased risks (e.g.,
myocardial infarction, stroke, deep vein thrombosis, breast cancer,
gallbladder disease)
(Caused many clinicians and patients to stop using hormone therapy)
WHI: Overall Correct Ans ✓✓ Landmark trial enrolled few women
younger than 60 years and few women who were within 10 years of
menopause onset
Menopause Treatment Guidelines Correct Ans ✓✓ 2017 Hormone
Therapy Position Statement of The North American Menopause Society
