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Just remember that the most common treatment as well as preventive care for
menopause is: hormone replacement therapy given orally. Hence, the mnemonic:
ORAL
HORMONES (REPLACED)
The definition, diagnosis, symptoms and treatment of menopause can all be
found in the words ORAL HORMONES. The second part of the mnemonic,
replaced, is optional.
Ovarian
failure
Reproductive
problems (Vaginal atrophy, dryness, pain during intercourse)
Atherosclerosis
(increased risk for cardiovascular problems)
Low libido
Hot flushes
(Vasomotor instability)
Osteoporosis
Raloxifene
(Alternative treatment for patients who are contraindicated for hormone
replacement therapy)
Mood Swings
(Irritability)
Older
No menses
(absent for at least 1 year)
Estradiol
test (If estradiol <30 pg/ml with increased FSH levels then start hormone
replacement therapy)
Steroids
(estrogen, progestin, androgen-- methyl testosterone or oral DHEA-sulfate if
needed)
Risedronate
(prevention/treatment for post-menopausal osteoporosis)
Estrogen
(Estrogen therapy can eliminated symptoms but it is associated with increased
risk of endometrial cancer).
Progestin
(opposes endometrial hyperplasia and can optimize benefit:risk ratio of steroid
therapy).
Loss of
cognitive function (Dementia)
Alendronate
(prevention/treatment for post-menopausal osteoporosis)
Calcitonin
(Treatment option for Osteoporosis)
Estrogen
(Reemphasize the importance of the estrogen hormone)
Depression
(or Dryness of the vagina)
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