Menopause
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TOPIC 03: Menopause - Before and After Menopausal Phase

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Menopause
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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
28 of 33

Menopause

Learn more about menopause: 
Select each item to learn more.
Subjective HistoryObjectives and DiagnosticsEducation
  • Menstrual history
  • Contraceptive history
  • Obstetrical history
  • Gynecologic history
  • Sexual history
  • Life event changes
  • Lifestyle
  • Medical history
  • Alternative medical treatments
  • Beliefs about menopause and expectations
  • Routine gyn exam
  • Rectal included in pelvic exam
  • Educate on importance of f/u if any bleeding
  • Pap per guidelines
  • TSH
  • FSH > 30
  • Estradiol <30
  • Bone density
     
  • Vaginal dryness: Replens, Astroglide, KY jelly, lubrin, Vit E 100-600/day, evening primrose oil 2-4 capsule/day
  • Diet, Exercise for prevention of osteoporosis, Calcium 1000-1200mg/day with 1000 IU/day of Vit D.
  • Yearly mammogram and pelvic examination per guidelines
  • SBE
  • Need for contraception until 1 year of no menses
  • S/S of post menopausal bleeding and risks
  • Kegels exercises - prolapse