BMJ Best Practice Podcast Menopause
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Jun 5, 2023 Explore the complexities of menopause, from accurate diagnosis to management with estrogen therapy. Learn about early menopause signs and differential diagnoses, and the importance of day three labs. Discover contraindications for estrogen use and the evolution of estrogen therapy for symptom management and bone health.
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Menopause Is A Clinical Diagnosis
- Menopause is a clinical diagnosis defined as 12 months without menses.
- Routine laboratory testing is not required for appropriately presenting patients.
Polyp Caused Continued Bleeding
- Dr. Benton described a 54-year-old patient who kept bleeding from an endometrial polyp despite being menopausal.
- The case illustrates the need to investigate persistent bleeding for endometrial pathology.
Test Young Women Carefully
- Always perform a pregnancy test for amenorrhea before age 51.
- Investigate women under 40 for premature ovarian failure because of long-term risks like bone loss.