NAMS Certification Exam 2024 Already Graded A
NAMS Certification Exam 2024 Already Graded A POI Symptoms - Hot flashes - Mood changes - depression - Insomnia - Vaginal dryness, dyspareunia POI Management HT until average of menopause Early Menopause Risks (natural or surgical) - CVD - Low bone density - Memory for verbal information compromised - Low libido due to decreased testosterone - Depression due to fertility Ovarian Reserve Lab - Antral follicle count & AMH Secondary Amenorrhea differential with low FSH - Pregnancy - Hypothalamic amenorrhea (e.g., Diabetes, celiac disease, excessive exercise/caloric restriction, stress, lesions of hypothalamus/pituitary) - Hyperprolactinemia - Thyroid disease - PCOS Adrenal Insufficiency - Hypofunction of adrenal gland and pituitary gland - Diagnosed by low cortisol at baseline - Treatment includes glucocorticoid replacement Female Pattern Hair Loss (FPHL) - Gradual hair thinning on crown of scalp - Occurs due to altered estrogen-to-androgen ratio - Sometimes seen with discontinuation of HT Telogen Effluvium (TE) - Sudden hair shedding - Patchy hair loss - Occurs after a major life stressor, chronic illness, or medication (beta blocker, anticoagulant) Hair Loss Treatment Goal: Prevent progression of hair loss - Minoxidil is FDA approved - Commonly used with Finasteride or Spironolactone Window of Vulnerability
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