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18 Cards in this Set
- Front
- Back
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Define TRUE menopause
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cessation of menses for one year
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Define perimenopause
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period immediately before and after menopause
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Define Climacteric
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Encompases both phases of Menopause AND perimenopause
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Mean age for menopause?
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51-52
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Median age of menopause onset?
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47.5 - lasts about 4 years
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T/F: 10% of women skip perimenopause and rapidly cease cycling
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True
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T/F: Smoking dec menopause age by 2 years
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TRUE
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What are the symptoms of menopause?
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hot flashes, atrophy, dyspaureunia, pruritis, urinary difficulties, incontinence, anxiety, insomnia, dec. libido
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What are the physhiologic alterations in menopause?
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body mass and total body weight inc.
Skin dec. collagen content = thinner Genitourinary tract = dec. collagen - pelvic organ prolapse Osteoporosis |
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What screening do we do for menopause?
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mammography yearly after 40
lipid profile every years at 45 fasting blood glu every 3 years at 45 TSH every 5 years at 45 colorectal cancer yearly at 50 Cervical cancer yearly to every 2-3 years Bone density at 65 (60 w/risk factors - see next flashcard) |
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Risk factors for osteoporosis?
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white, asian, cigs, menopause, low to low normal BMI, alcohol use, chronic illness, poor diet and calcium, vit D
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What do DEXA scans measure?
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spine and femoral neck
compare to age and gender matched controls |
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Pt has DEXA scan between -1 and -2.5
Dx? |
Osteopenia
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Pt has DEXA scan T score less than -2.5
Dx? |
Osteoporosis
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Tx for menopause?
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E2 - dec. symptoms
P4 - to prevent enometrial hyperplasia |
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What was the point of the womens health initiative
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To prove that hormone replacement therapy dec. womens chance of getting a bunch of medical problems (CV, cancer, osteoporosis). failed horribly
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Why was the womens health initiative study stopped?
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E2 + P4 arm stopped b.c of thromboembolism
E2 arm stopped because of breast cancer |
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So were the results of the hormone replacement study significant enough to warrant stopping hormone replacement therapy?
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Nope, keep doin it
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