Perimenopause+Tips+for+the+Transition

Perimenopause+Tips+for+the+Transition - Tips for the...

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04/08/11 1 Tips for the Transition By Kimberley Guida, MD Pullman Family Medicine, LLP
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04/08/11 2 Case Presentation Annie is a 48 year old white female who comes in for her annual exam. She tells me she is just not feeling like her usual self. She has been moody lately and having trouble sleeping. She has no desire for sex, and this is causing problems in her marriage. She occasionally has hot flashes. She missed a period three months ago, but since then they have been regular. Her husband suggested that she go to the doctor and “get some hormones or something.” “Do I need hormones?”, she asks, “ Am I reaching menopause?”
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04/08/11 3 Topics of Discussion What is perimenopause? Symptoms of perimenopause Long term health risks associated with menopause Hormone Replacement Therapy Complementary therapies Lifestyle changes
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04/08/11 4 What Is Menopause? Menopause is defined as the cessation of ovarian function, or the cessation of menstrual cycles Menopause is a natural process, it is not a disease The mean age for menopause is 51 years One third of woman’s life occurs after menopause
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04/08/11 5 What Is Perimenopause? Perimenopause is a transition rather than an event It is the period of time surrounding menopause when ovarian function is declining, but has not stopped Onset of perimenopause is usually 3-5 years before the periods stop Perimenopause and menopause may last 2-10 years
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04/08/11 6 Symptoms of Perimenopause Hot flashes Vaginal dryness Breast Tenderness Mood disturbances Sleep disturbances Urinary tract infections/incontinence Menstrual changes Sexual dysfunction
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04/08/11 7 Other Physiologic Changes Slowing of metabolism Weight gain Changes in lipids Increase in heart disease Osteoporosis
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8 Heart Disease
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This note was uploaded on 04/08/2011 for the course FAMR 230 taught by Professor Brown,l during the Spring '08 term at University of Hawaii, Manoa.

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Perimenopause+Tips+for+the+Transition - Tips for the...

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