Menopause
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TOPIC 02: Menopause - Before and After Perimenopause

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Check Your Understanding
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Lesson Splash, Page 1
Splash
Lesson Overview, Page 2
Overview
Topic 01: Introduction, Page 3
Vulvo-Vaginal Atrophy
Topic 01: Facts, Page 4
Vulvo-Vaginal Atrophy
Topic 01: Causes and Effects, Page 5
Vulvo-Vaginal Atrophy
Topic 01: Changes in the Vaginal Epithelium with Menopause, Page 6
Vulvo-Vaginal Atrophy
Topic 01: Atrophic Vaginitis, Page 7
Vulvo-Vaginal Atrophy
Topic 01: Treatment, Page 8
Vulvo-Vaginal Atrophy
Topic 01: Treatment, Part II, Page 9
Vulvo-Vaginal Atrophy
Topic 01: Check Your Understanding, Page 10
Vulvo-Vaginal Atrophy
Topic 01: References, Page 11
Vulvo-Vaginal Atrophy
Topic 01: Review, Page 12
Vulvo-Vaginal Atrophy
Topic 02: Introduction, Page 13
Menopause - Before and After Perimenopause
Topic 02: Objectives, Page 14
Menopause - Before and After Perimenopause
Topic 02: Menstrual Cycle, Page 15
Menopause - Before and After Perimenopause
Topic 02: Reproductive Aging, Page 16
Menopause - Before and After Perimenopause
Topic 02: Estrogen Target Tissues, Page 17
Menopause - Before and After Perimenopause
Topic 02: Perimenopause, Page 18
Menopause - Before and After Perimenopause
Topic 02: Check Your Understanding, Page 19
Menopause - Before and After Perimenopause
Topic 02: Check Your Understanding, Page 20
Menopause - Before and After Perimenopause
Topic 02: Check Your Understanding, Page 21
Menopause - Before and After Perimenopause
Topic 02: References, Page 22
Menopause - Before and After Perimenopause
Topic 02: Review, Page 23
Menopause - Before and After Perimenopause
Topic 03: Introduction, Page 24
Menopause - Before and After Menopausal Phase
Topic 03: Definition, Page 25
Menopause - Before and After Menopausal Phase
Topic 03: Definition, Part II, Page 26
Menopause - Before and After Menopausal Phase
Topic 03: Etiology, Page 27
Menopause - Before and After Menopausal Phase
Topic 03: Menopause, Page 28
Menopause - Before and After Menopausal Phase
Topic 03: Hormone Replacement Therapy, Page 29
Menopause - Before and After Menopausal Phase
Topic 03: Check Your Understanding, Page 30
Menopause - Before and After Menopausal Phase
Topic 03: Check Your Understanding, Page 31
Menopause - Before and After Menopausal Phase
Topic 03: Review, Page 32
Menopause - Before and After Menopausal Phase
Lesson Summary, Page 33
Lesson Summary
19 of 33

Check Your Understanding

Select the correct answer.

A 45 yr old female patient presents with a 6-month history of heavy, irregular periods every 24-30 days and lasting 8-10 days. She is not currently bleeding.  Pelvic exam reveals a normal sized, non-tender uterus and normal adnexa.  Which one of the following tests would not be appropriate in the initial evaluation of this problem?

A CBC is needed to rule out anemia on any patient with heavy bleeding

When a patient is still bleeding, even if irregular a FSH and LW will provide little information for diagnosis; good evaluation for amenorrhea.

A TSH is not useful to evaluate for anemias, but can help to look at cause for irregular bleeding

An Ultrasound should be done if exam demonstrated tenderness or masses in pelvis. This patient has a negative exam so does not need to be done as an initial work-up.
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