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NAMS MENOPAUSE QUESTIONS AND ANSWERS
SURE A+
✔✔Driving piece of menopause is ovarian follicles depleting. - ✔✔What does this do to
the inhibin B and AMH? Inhibin and AMH decrease.

✔✔Aldosterone - ✔✔Hormone regulating sodium and potassium balance.

✔✔Zona Reticularis - ✔✔Inner layer of adrenal cortex producing hormones.

✔✔Adrenocorticotropic Hormone (ACTH) - ✔✔Stimulates cortisol production from
adrenal glands.

✔✔Cortisol Binding Globulin - ✔✔Protein that transports cortisol in blood.

✔✔Oral Estrogen - ✔✔Increases cortisol binding globulin levels.

✔✔Transdermal Estrogen - ✔✔Minimal effect on serum cortisol concentration.

✔✔Vasopressin - ✔✔Hormone secreted by posterior pituitary gland.

✔✔Oligomenorrhea - ✔✔Irregular menstrual cycles with prolonged intervals.

✔✔Amenorrhea - ✔✔Absence of menstruation for at least 3 cycles.

✔✔Primary Ovarian Insufficiency (POI) - ✔✔Condition diagnosed with elevated FSH
and menstrual disturbance.

✔✔Menorrhagia - ✔✔Excessive menstrual bleeding requiring treatment.

✔✔Female Pattern Hair Loss (FPHL) - ✔✔Gradual thinning of hair, often at crown.

, ✔✔Telogen Effluvium - ✔✔Sudden hair loss triggered by stress or illness.

✔✔Minoxidil - ✔✔Topical treatment for hair loss.

✔✔Vulvar Intraepithelial Neoplasia (VIN) - ✔✔Precancerous condition of vulvar skin.

✔✔Squamous Cell Carcinoma - ✔✔Most common type of vulvar cancer.

✔✔Desquamative Inflammatory Vaginitis - ✔✔Causes burning and discharge, resistant
to local ET.

✔✔Hot Flashes - ✔✔Median duration of 10 years in menopause.

✔✔Cognition and Menopause - ✔✔Common difficulties include concentration and
memory.

✔✔HSDD - ✔✔Hypoactive Sexual Desire Disorder in women.

✔✔Flibanserin - ✔✔Medication used to treat HSDD.

✔✔L-arginine - ✔✔Treatment for genital arousal disorder.

✔✔Thyroid Binding Globulin - ✔✔Increases with estrogen, affecting free T4 levels.

✔✔Cold Thyroid Nodules - ✔✔More likely to be malignant than hot nodules.

✔✔Gallbladder Disease - ✔✔Increased risk with oral HRT, lower with transdermal.

✔✔Mediterranean Diet - ✔✔Beneficial for cognition and memory improvement.

✔✔Cognitive Effects of HRT - ✔✔Small or no overall effect on cognition.

✔✔Migraine Treatment Guidelines - ✔✔Avoid combined hormonal contraception with
aura.

✔✔Hepatitis C screening start year - ✔✔1992

✔✔Reason for screening for Hep C - ✔✔Most infections become chronic and most are
asymptomatic until liver damage is detected years later.

✔✔One-time Hep C testing age range - ✔✔All adults born from 1945 to 1965

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