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Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) - 🧠
ANSWER ✔✔alternatives for hormone replacement therapy
Selective Estrogen Receptor Modulators (SERMs) - 🧠 ANSWER
✔✔Tamoxifen, toremifene, raloxifene -- provide estrogen benefits while
avoiding its drawbacks
Dysfunctional uterine bleeding - 🧠 ANSWER ✔✔10-14 day course of
progestin
Amenorrhea treatment - 🧠 ANSWER ✔✔progestin helps induce menstrual
flow
Amenorrhea estrogen levels are low - 🧠 ANSWER ✔✔give progestin for 5-
10 days
, Long term progestin therapy - 🧠 ANSWER ✔✔protection against
endometrial cancer
Estradiol - 🧠 ANSWER ✔✔most active estrogenic compound. oral estrogen
option
Advantages of estrogen transdermal patch - 🧠 ANSWER ✔✔lower total
estrogen dose. less n/v. less fluctuation of estrogen blood levels. lower r/f
DVT, PE and stroke
Femring - 🧠 ANSWER ✔✔intravaginal ring controls hot flashes and night
sweats. Treats vulval and vaginal atrophy
No gap method of changing from one OC to another - 🧠 ANSWER ✔✔go
straight from one type of OC to the other without taking a gap.
initiating OC treatment - 🧠 ANSWER ✔✔first day of menstrual cycle (no
backup BC needed) OR first sunday after onset of menses (backup BC
needed for 7 days)
Initiating androgen therapy short term - 🧠 ANSWER ✔✔delayed sexual
maturation causing a boy significant distress. Limited course of
Fluoxymesterone and methyltestosterone are approved.