Response Post About Menopause essay
Response Post About Menopause essay
The description of the patient’s symptoms and diagnosis in this post is true because menopause is a transition to a new phase of life after the cessation of the menstrual cycle. It starts between the ages of 40 and 58 years (Anagnostis, et al, 2020). Menopause results from loss of ovarian sensitivity to gonadotrophin stimulation that directly affects follicular attrition. The oocytes in the ovaries undergo atresia throughout a woman’s cycle resulting in a decline in both quantities and quality of the follicles. It causes a variable menstrual cycle length. The variant hormonal changes cause hot flashes, insomnia, weight gain, bloating, irregular menses, mastodynia, depression, headache, and reduced sex drive. Genital-urinary symptoms are a result of reduced PH. In turn, it causes pruritus and malodorous discharge. According to Anagnostis, et al, (2020), menopause is a risk factor for osteoporosis, hypercholesterolemia, stroke, liver disease, cardiovascular diseases, and breast cancer due to the reduced estrogen production. Response Post About Menopause essay
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Treatment Modalities In Menopause
The unpleasant physical and psychological changes are relived through hormonal therapy, lifestyle modification, treating symptoms, and active sex life (Johnston-Ataata, et al, 2021). In this patient, hormonal replacement therapy is not the best option because it will increase the risk for cardiovascular diseases and breast cancer (Anagnostis, et al, 2020). After all, she is hypertensive and has a positive family history of breast cancer. Active symptom treatment for the patient will involve the use of over-the-counter gels and products for vaginal dryness, low dose birth control pills for hot flashes, vaginal dryness, and mood swings. During treatment initiation, it is important to seek fully informed consent and conduct patient education to create rapport with the patient and also enable understanding of the signs and different treatment methods. This post has discussed important points to note during menopause.
The post to write a response to is as follows: The patient is a 46-year old obese woman with hypertension and a family history of breast cancer. She complains of hot flushes, genitourinary symptoms, and night sweats. Close to 95% of women enter menopause at around 45 -55 years (Rosenthal & Burchum, 2021). Our patient is in menopause, and due to low estrogen levels, she has vasomotor symptoms. The health needs of this patient are relief of vasomotor symptoms, genitourinary symptoms, improving the quality of life, and minimizing risks of breast cancer and venous thromboembolism. Genitourinary syndrome of menopause does not subside unless managed and can negatively affect the patient’s quality of life (Roberts & Hickey, 2016). The standard for the management of vasomotor symptoms in menopause is hormonal therapy. This therapy, however, has an associated risk of breast cancer, cardiovascular disease, and endometrial cancer (Stubbs et al., 2017). The treatment plan for this patient will include. To treat genitourinary symptoms, I will initiate the patient on non-hormonal therapy such as lubricants, dilation therapy, and moisturizers since the patient is at a high risk of developing breast cancer (Kagan et al., 2019). If she does not respond to the non-hormonal treatment, she will be given low-dose hormonal therapies such as vaginal tablets and creams. The education strategy for this patient would be to establish a good rapport. I would then explain to her about menopause and emphasize that it is a normal physiological process associated with the symptoms that she is experiencing (Rosenthal & Burchum, 2021). Throughout the decision-making process, I will also involve her in explaining the risk and benefits of available therapy options, which will help her make an informed decision. Response Post About Menopause essay
Anagnostis, P., Bitzer, J., Cano, A., Ceausu, I., Chedraui, P., Durmusoglu, F., … & Rees, M. (2020). Menopause symptom management in women with dyslipidemias: An EMAS clinical guide. Maturitas, 135, 82-88.
Johnston-Ataata, K., Flore, J., & Kokanović, R. (2021, January). Women’s experiences of diagnosis and treatment of early menopause and premature ovarian insufficiency: a qualitative study. In Seminars in Reproductive Medicine. Thieme Medical Publishers, Inc.. Response Post About Menopause essay