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</p> Signup and view all the answers

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

    <p>Decreases</p> Signup and view all the answers

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

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

    What is the primary indication for hormone therapy?

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

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

    <p>Estrogen combined with progestin</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</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</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.</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</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.</p> Signup and view all the answers

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

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

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

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

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

    <p>Ospemifene</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</p> Signup and view all the answers

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

    <p>Dyspareunia</p> Signup and view all the answers

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

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

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

    <p>Bleeding</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</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</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</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</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.</p> Signup and view all the answers

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

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

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

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

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

    <p>Breast tenderness and headaches</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.</p> Signup and view all the answers

    What is the cause of anovulation?

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

    Which form of estrogen becomes dominant during menopause?

    <p>Estrone</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</p> Signup and view all the answers

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

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

    How long do vasomotor symptoms typically last in menopausal women?

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

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

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

    What skin change occurs during menopause?

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

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