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
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Check Your Understanding

Select the correct answer.

Select the appropriate response.

A 50 year old perimenopausal patient presents with irregular bleeding at intervals of 20 to 24 days lasting 5-6 days and at times heavy over the past 6 months.  Her pelvic exam is wnl.  Appropriate diagnostic would include:

An endometrial biopsy or ultrasound is  important to rule out uterine pathology in the patient where she notes increase in duration and flow of bleeding.
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