FSH Level and Ovarian Failure Quiz
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Questions and Answers

What is the definition of natural menopause?

  • Onset of irregular menses to the final menstrual cycle
  • Menstrual cycles stopping before the age of 40
  • 12 consecutive months of amenorrhea in a woman over 40 years old (correct)
  • Surgical removal of ovaries leading to immediate menopause

At what age does perimenopause/menopausal transition typically begin?

  • 40 years
  • 51 years
  • 55 years
  • 47 years (correct)

What is the significance of primary ovarian insufficiency?

  • Results in immediate menopause
  • Irregular or cessation of ovulatory menstrual cycles before age 40 (correct)
  • Occurs after the age of 40
  • Leads to a decrease in ovarian follicles

How does surgical menopause differ from natural menopause?

<p>Involves removal of functioning ovaries leading to immediate menopause (B)</p> Signup and view all the answers

What typically happens to the number of ovarian follicles as women age?

<p>Decreases (D)</p> Signup and view all the answers

When does the production of follicle-stimulating hormone vary and then increase?

<p>As women age (A)</p> Signup and view all the answers

What is the primary indication for hormone therapy?

<p>Minimizing menopausal symptoms (C)</p> Signup and view all the answers

Which hormone therapy regimen is recommended for females with a uterus?

<p>Estrogen combined with progestin (A)</p> Signup and view all the answers

What is the role of progestin in hormone therapy for females with a uterus?

<p>Thins out the endometrial lining (C)</p> Signup and view all the answers

Why is it essential for females with a uterus to take both estrogen and progesterone together?

<p>To prevent endometrial cancer (B)</p> Signup and view all the answers

What is the primary difference between estrogen replacement therapy (ERT) and hormone replacement therapy (HRT)?

<p>ERT is unopposed estrogen, while HRT is estrogen combined with progestin. (D)</p> Signup and view all the answers

Which type of hormone therapy helps in lowering the risk of osteoporotic fractures?

<p>Estrogen combined with progestin (D)</p> Signup and view all the answers

Why do females without a uterus have more flexibility in choosing their hormone therapy regimen?

<p>They do not need to worry about endometrial cancer. (B)</p> Signup and view all the answers

What is the source of conjugated estrogens, also known as Premarin?

<p>Derived from mare urine (D)</p> Signup and view all the answers

'FRAX tool' is used to assess what aspect in postmenopausal women?

<p>Fracture risk equivalent to a 65-year-old female (B)</p> Signup and view all the answers

When is estrogen alone recommended as part of hormone replacement therapy?

<p>For females without a uterus (C)</p> Signup and view all the answers

What is the recommended treatment for genitourinary syndrome of menopause to reverse vaginal atrophy and reduce urinary tract infections?

<p>Topical estrogen therapy (D)</p> Signup and view all the answers

Which alternative medication showed no impact on reducing hot flashes when compared to placebo in clinical trials?

<p>Black cohosh (C)</p> Signup and view all the answers

What is the recommended first-line therapy for women experiencing dyspareunia associated with vaginal atrophy?

<p>Ospemifene (D)</p> Signup and view all the answers

How often should vaginal estrogen treatment be initiated for women with distressing symptoms of genitourinary syndrome of menopause?

<p>Daily for one to two weeks (C)</p> Signup and view all the answers

What does Ospemifene primarily help with in women experiencing symptoms of menopause?

<p>Dyspareunia (D)</p> Signup and view all the answers

What is the purpose of calcium supplements for post-menopausal women?

<p>To address osteoporosis risk (D)</p> Signup and view all the answers

Which activity can help improve elasticity, vascularity, and epithelial proliferation in post-menopausal women?

<p>Weight-bearing exercises (D)</p> Signup and view all the answers

What should be evaluated before starting vaginal topical treatments in post-menopausal women?

<p>Bleeding (C)</p> Signup and view all the answers

Which of the following is NOT a non-hormonal treatment recommended for women during and after breast cancer treatments?

<p>Vaginal estrogen therapy (C)</p> Signup and view all the answers

What is the main purpose of encouraging lifestyle modifications in post-menopausal women?

<p>To address cardiovascular risk factors (C)</p> Signup and view all the answers

What did the Women's Health Initiative study demonstrate about women who take estrogen with progesterone versus placebo?

<p>Increased risk of invasive breast cancer (A)</p> Signup and view all the answers

What is a common side effect of hormone replacement therapy that may not be as serious?

<p>Headaches (A)</p> Signup and view all the answers

Why do most physicians believe the Women's Health Initiative study had many adverse events?

<p>Participants were well into menopause and beyond the age to benefit from hormones. (A)</p> Signup and view all the answers

Which therapy should never be given for cardioprotective benefits, according to the text?

<p>Hormone replacement therapy (D)</p> Signup and view all the answers

What is a contraindication for receiving hormone therapy according to the text?

<p>Active liver disease (A)</p> Signup and view all the answers

What effect did estrogen alone have on the risk of invasive breast cancer?

<p>No effect on risk (C)</p> Signup and view all the answers

Which of the following is NOT listed as a non-hormonal treatment for vasomotor symptoms?

<p>Estrogen gel (D)</p> Signup and view all the answers

What is recommended as the maximum duration for hormone therapy according to the American College of Obstetricians and Gynecologists?

<p>5 years (C)</p> Signup and view all the answers

What are some common side effects associated with hormone replacement therapy?

<p>Breast tenderness and headaches (C)</p> Signup and view all the answers

What was one of the key findings regarding ultra-low-dose regimens in relation to hormone replacement therapy?

<p>The results were mixed. (A)</p> Signup and view all the answers

What is the cause of anovulation?

<p>Inadequate estradiol production (D)</p> Signup and view all the answers

Which form of estrogen becomes dominant during menopause?

<p>Estrone (C)</p> Signup and view all the answers

How can the risks of cardiovascular disease be offset during menopause?

<p>Increasing exercise and maintaining a healthy diet (D)</p> Signup and view all the answers

What symptom do about 80% of menopausal women report experiencing?

<p>Vasomotor symptoms (C)</p> Signup and view all the answers

How long do vasomotor symptoms typically last in menopausal women?

<p>One to five minutes (C)</p> Signup and view all the answers

What is a common symptom associated with urogenital atrophy in menopausal women?

<p>Vaginal dryness and itching (D)</p> Signup and view all the answers

What symptom is linked to menopause as being one of the worst and nearly universal among women?

<p>Sleep disturbance (D)</p> Signup and view all the answers

What skin change occurs during menopause?

<p>&quot;Skin becomes thinner&quot; (C)</p> Signup and view all the answers

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