Women's Health Exam III – Menopause
Questions With Complete Solutions
1. Menopause is described as a ______________
2. This happens when a woman reaches what ages?
3. What is menopause marked by?
4. Menopause is a time of menstrual and endocrine changes
beginning ___________ - Correct Answers ✅1. a natural
decline in reproductive hormones
2. 40s - 50s
3. marked by the end of menses.
4. (below)
- variation in cycle length
- and ending with the final menstrual period
- (FMP is when 12 months of amenorrhea have passed after
last menstrual period)
1. what kind of diagnosis is menopause?
2. how do you know if someone has gone through
menopause?
3. what is the average age of menopause? - Correct
Answers ✅1. a retrospective diagnosis
2. 12 months without any uterine bleeding
3. 40 - 58 years old, average age 51 years
What is periomenopause? - Correct Answers ✅-
*symptomatic years of menopausal transition*
,Women's Health Exam III – Menopause
Questions With Complete Solutions
- time of endocrine and menstrual changes that start
occurring for women in the years before the final menstrual
period
- encompassing the time from early menopausal transition to
12 months after final menstrual period,
1. During perimenopause, what happens to estrogen levels?
2. How long does perimenopause last usually? - Correct
Answers ✅1. During this time, estrogen levels fluctuate,
which can cause heavy, irregular periods and cramping.
2. 5 years
1. what happens to the number of follicles? - Correct
Answers ✅- Number of follicles are rapidly diminishing
- with less follicles, the ovary is producing less of all the sex
steroids (E, P, A)
- and so they are not there to give negative feedback to the
HPO axis.
1. The ovaries before more resistant to FSH stimulation
___________ - Correct Answers ✅1. high peaking of FSH
- With less follicles, the ovary is producing less off all the sex
steroids (E,P,A)
- and so they are not there to give negative feedback to the
HPO axis
- In response the pituitary puts out more and FSH and LH
, Women's Health Exam III – Menopause
Questions With Complete Solutions
1. Can we use hormone levels to diagnose menopause?
2. what are the hours to hour changes like? - Correct
Answers ✅1. Although the hormones LH and FSH (especially
FSH) are trending upward in menopause
2. the actual levels hour to hour can be very erratic and that
is why hormone testing for menopause is considered to be
very unreliable.
1. Once someone has gone fully through menopause (a year
with no menses) what happens to FSH?
2. So do guidelines suggest that FSH levels are tested for
menopause? - Correct Answers ✅1. FSH tends to be very
high and stay forever at that peak level.
+ In the years leading up to transition, hormone levels are
erratic.
2. Professional guidelines do not recommend testing
hormones level to diagnosis menopause (estrogen, FSH).
1. Should someone use contraception during
periomenopause?
2. What if the person has a bilateral tubal ligation? - Correct
Answers ✅1. Yes, just because you are not ovulating at a
regular schedule does not m ean that you are not still
ovulating.
2. Many patients have BTL, do not need BC.
Questions With Complete Solutions
1. Menopause is described as a ______________
2. This happens when a woman reaches what ages?
3. What is menopause marked by?
4. Menopause is a time of menstrual and endocrine changes
beginning ___________ - Correct Answers ✅1. a natural
decline in reproductive hormones
2. 40s - 50s
3. marked by the end of menses.
4. (below)
- variation in cycle length
- and ending with the final menstrual period
- (FMP is when 12 months of amenorrhea have passed after
last menstrual period)
1. what kind of diagnosis is menopause?
2. how do you know if someone has gone through
menopause?
3. what is the average age of menopause? - Correct
Answers ✅1. a retrospective diagnosis
2. 12 months without any uterine bleeding
3. 40 - 58 years old, average age 51 years
What is periomenopause? - Correct Answers ✅-
*symptomatic years of menopausal transition*
,Women's Health Exam III – Menopause
Questions With Complete Solutions
- time of endocrine and menstrual changes that start
occurring for women in the years before the final menstrual
period
- encompassing the time from early menopausal transition to
12 months after final menstrual period,
1. During perimenopause, what happens to estrogen levels?
2. How long does perimenopause last usually? - Correct
Answers ✅1. During this time, estrogen levels fluctuate,
which can cause heavy, irregular periods and cramping.
2. 5 years
1. what happens to the number of follicles? - Correct
Answers ✅- Number of follicles are rapidly diminishing
- with less follicles, the ovary is producing less of all the sex
steroids (E, P, A)
- and so they are not there to give negative feedback to the
HPO axis.
1. The ovaries before more resistant to FSH stimulation
___________ - Correct Answers ✅1. high peaking of FSH
- With less follicles, the ovary is producing less off all the sex
steroids (E,P,A)
- and so they are not there to give negative feedback to the
HPO axis
- In response the pituitary puts out more and FSH and LH
, Women's Health Exam III – Menopause
Questions With Complete Solutions
1. Can we use hormone levels to diagnose menopause?
2. what are the hours to hour changes like? - Correct
Answers ✅1. Although the hormones LH and FSH (especially
FSH) are trending upward in menopause
2. the actual levels hour to hour can be very erratic and that
is why hormone testing for menopause is considered to be
very unreliable.
1. Once someone has gone fully through menopause (a year
with no menses) what happens to FSH?
2. So do guidelines suggest that FSH levels are tested for
menopause? - Correct Answers ✅1. FSH tends to be very
high and stay forever at that peak level.
+ In the years leading up to transition, hormone levels are
erratic.
2. Professional guidelines do not recommend testing
hormones level to diagnosis menopause (estrogen, FSH).
1. Should someone use contraception during
periomenopause?
2. What if the person has a bilateral tubal ligation? - Correct
Answers ✅1. Yes, just because you are not ovulating at a
regular schedule does not m ean that you are not still
ovulating.
2. Many patients have BTL, do not need BC.
