Management of Reproductive Disorders test
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Questions and Answers

What is the rationale for treating post-menopausal women with hormone replacement therapy (HRT)?

  • To worsen menopausal symptoms
  • To increase the risk of endometrial cancer
  • To induce hypertension
  • To prevent osteoporotic fractures (correct)

Why is it recommended to treat women with a uterus with combined oestrogen/progestogen therapy?

  • To prevent weight gain
  • To treat hypertension
  • To decrease the risk of thrombosis
  • To reduce the risk of endometrial cancer (correct)

What is a potential concern when administering higher-dose HRT?

  • Weight loss
  • Fluid retention (correct)
  • Reduced risk of osteoporosis
  • Decreased risk of thrombosis

In post-menopausal women, what are the associated risks of undergoing long-term HRT?

<p>Adverse effects related to the duration of therapy and age (B)</p> Signup and view all the answers

When is it generally recommended to discontinue oestrogen replacement therapy?

<p>After 5 years of therapy (A)</p> Signup and view all the answers

Why might lower-dose oral or transdermal HRT be more appropriate for some patients?

<p>To reduce oestrogenic side-effects (D)</p> Signup and view all the answers

What is the most reliable 'test' of ovarian function in pre-menopausal women?

<p>Careful menstrual history (B)</p> Signup and view all the answers

What can confirm ovulation in women during the menstrual cycle?

<p>Plasma progesterone measurement during luteal phase (B)</p> Signup and view all the answers

At what age does the cessation of menstruation (menopause) typically occur in high-income countries?

<p>50 years (A)</p> Signup and view all the answers

What happens in the 5 years before menopause that is referred to as the climacteric?

<p>Gradual increase in anovulatory cycles (B)</p> Signup and view all the answers

What hormonal changes occur leading to menopause?

<p>Increased pituitary secretion of LH and FSH (C)</p> Signup and view all the answers

What is the recommended age limit for continuing hormone replacement therapy (HRT) in patients with premature menopause?

<p>Around 50 years (C)</p> Signup and view all the answers

When should HRT be continued beyond the age of around 50 years in patients with premature menopause?

<p>If there are persistent symptoms of estrogen deficiency (C)</p> Signup and view all the answers

What are some clinical features of male hypogonadism?

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

What is one of the postulated mechanisms contributing to mild hypogonadism in older men?

<p>Reduction in testosterone levels with age (B)</p> Signup and view all the answers

Which hormone is commonly measured in older men as part of an assessment for erectile dysfunction and lack of libido?

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

How is male hypogonadism confirmed?

<p>Low fasting serum testosterone level at 0900-hr (C)</p> Signup and view all the answers

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