Menopausal Hormone Therapy (MHT) Indications and Contraindications

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Questions and Answers

What is the primary consideration for deciding to use MHT and the type of formulation used?

  • Menopause onset and age
  • Osteoporosis risk and sleep quality
  • Personal preference and menopausal symptoms severity (correct)
  • Urogenital symptoms and heart disease risk

What is the most effective treatment for moderate to severe vasomotor symptoms and impaired sleep quality?

  • MHT, specifically estrogen only therapy (correct)
  • MHT, specifically estrogen plus a progestogen or estrogen agonist/antagonist
  • Intravaginal estrogen cream, tablet, or ring
  • Ospemifene, a selective estrogen receptor modulator

When is intravaginal estrogen cream, tablet, or ring the preferred treatment option?

  • When urogenital symptoms are the only menopausal complaint (correct)
  • When the patient has a history of hysterectomy
  • When the patient has an intact uterus
  • When the patient is at risk for osteoporosis related fractures

What is the benefit of intravaginal estrogen in reducing the risk of recurrent urinary tract infections?

<p>It minimizes systemic absorption (D)</p> Signup and view all the answers

What is the benefit of estrogen only therapy in 50- to 59-year-old females with a history of hysterectomy?

<p>It decreases the risk of heart disease and all-cause mortality (D)</p> Signup and view all the answers

What is the indication for MHT in recently menopausal individuals at risk?

<p>Prevention of osteoporosis related fractures (B)</p> Signup and view all the answers

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