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Terms in this set (80)
Which 2 Cognitive behavioral therapy, clinical hypnosis
nonpharmacologic
treatments are HIGHLY
recommended by the
North American
Menopause Society
(NAMS) to treat VMS?
Temperature control (colder pillow)
What other Yoga/relaxation therapy
nonpharmacologic Avoid spicy foods, chocolate, caffeine
options are used to treat Exercise
VMS? Acupuncture
Paced respiration (slowed down breathing)
What are vasomotor Hot flushes and night sweats
symptoms?
Dyspareunia, vaginal dryness, mood changes, sleep
What are the non-VMS of
disturbances, concentration and memory issues,
menopause?
arthralgia
If patient has a uterus, estrogen + progestin combo
you must give them
If patient does NOT have estrogen alone
a uterus, you can give
them
, What are the 3 main Lower VTE risk
differences in estrogen No impact on triglycerides
of transdermal Potential lower stroke risk, so lower blood clot risk
estrogens?
What are the 2 main Increases triglycerides
differences in estrogen Potential for decreased libido
of oral estrogens?
Clinical study started in 1991. Studied the use of
What is the Women's conjugated equine estrogens (CEE) and
Health Initiative (WHI)? medroxyprogesterone acetate (MPA) in women with
and without a uterus
What was the most Estrogen + progestin combo resulted in an
important "shocking" increased risk of breast cancer
result from the WHI?
There was some bias in the study, since it stopped
What was the problem early. Upon further investigation 18 years later,
with how the WHI increased mortality was not associated with
ended? hormone therapy. Women would have less side
effects over time
When is it considered Likely safe to start in patients with no
safe to start menopause contraindications who are within 10 years of
hormone therapy (MHT) menopause, and/or <60 years old according to
in women? NAMS (North American Menopause Society)
Is tobacco use a Tobacco use is NOT a contraindication to hormone
contraindication to MHT? therapy, but transdermal therapy may be preferred
What is the 1st line Systemic hormone therapy (HT), since it provides
treatment to help with optimal relief of hot flushes
VMS of menopause after
trying nonpharmacologic
therapies?
What symptoms should VMS
be present for a woman
to be on HT?