Source: American Academy of Family Physicians
In this episode of CME On the Go, the hosts revisit menopause through a case of a 51-year-old with seven months of amenorrhea, vasomotor, and cognitive symptoms, and osteopenia-range DEXA findings, highlighting that she is perimenopausal. They note the limited role of FSH/LH testing and the need to rule out other causes. The episode focuses on systemic hormone therapy, recommending 17β-estradiol with progesterone for patients with an intact uterus, favoring transdermal routes for lower risk, gradual dose titration, shared decision making, and supportive lifestyle measures.
Learning Objectives
- Learn how to select proper dosing and route of administration for estrogen replacement therapy including initiation, adjustments through monitoring, and discontinuation.
- Discuss non-medicinal strategies for healthy aging in the menopausal woman including issues around sleep management, general cardiovascular fitness, and dementia.
After listening to the podcast episode, claim 0.5 American Academy of Family Physicians continuing medical education credits.