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Menopause Quiz - Second Nature Care

[fa icon="calendar'] Feb 5, 2015 10:30:00 AM / by Dr. Isadora Guggenheim

Do you have 50 shades of menopause? Second Nature Care cares.

There's alot of buzz about this film and book.  I've heard that many women over 50 are buying tickets. Is your menopause 50 shades of grey?

Test your menopause knowledge with this quick quiz.  

Menopause, by definition, is the final menstrual period. It is diagnosed after 12 months of amenorrhea (no menses) and is characterized by a myriad of symptoms that include, but are not limited to, changes from regular, predictable menses; vasomotor and urogenital symptoms, such as vaginal dryness and dyspareunia (pain with intercourse or penetration); and sleep and mood dysfunction.

Test yourself with our quiz first and then book your appointment to get back on your hormonal track. 

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Which of the following is the most common change in menstrual cyclicity that occurs during the menstrual transition in women with no pelvic pathology who continue to be ovulatory?
Longer menstrual cycle (> 30 days)
Shorter menstrual cycle (< 25 days)
Heavier menstrual flow
Lighter menstrual flow

A shorter menstrual cycle (< 25 days) is the most common change in menstrual cyclicity 

Which of the following is the most common symptom during menstrual transition?

Urinary frequency
Palpitations
Vertigo
Hot flashes or flushes

During the menopausal transition, physiologic changes in responsiveness to gonadotropins and their secretions occur, with wide variations in hormone levels. Women often experience a range of symptoms, including the following:

  • Hot flashes or flushes (most common) At Piermont Gynecology we call them power surges.

  • Insomnia

  • Weight gain and bloating

  • Mood changes

  • Irregular menses

  • Mastodynia

  • Depression

  • Headache
Which of the following is most helpful in assessing the menopausal transition?
FSH assay
Anti-Müllerian hormone measurement
Endometrial biopsy
Luteinizing hormone (LH) measurement

Gonadotropin secretion increases dramatically after menopause. FSH levels are higher than LH levels, and both rise to even higher values than those seen in the surge during the menstrual cycle. The FSH rise precedes the LH rise. FSH is the diagnostic marker for ovarian failure. LH is not necessary to make the diagnosis. FSH stands for follicular stimulating hormone.  

Which of the following is the most useful pharmacologic intervention in postmenopausal women with osteoporosis?

Bisphosphonates
Estrogen
Raloxifene
Vitamin D
Bisphosphonates according to this quiz, but I have successfully reversed osteopenia and osteoporosis with bone building nutrients and alkaline dietary changes.  
Diet is the key to reversing silent osteoporosis.  We remove lead and other metals that interfere with normal bone building with ozone chelation. I recommend the best nutraceuticals to rebuild your bone from the experts at Zycal and Xymogen. We have advanced testing to monitor your treatment and make sure that it is working.   
Which of the following is not recommended in the treatment of menopausal women?
Estrogen plus progestin
Selective serotonin reuptake inhibitors
Progestin monotherapy
Norepinephrine reuptake inhibitors

  • Systemic hormone therapy with estrogen or estrogen plus progestin is the most effective treatment for vasomotor symptoms.

  • Low-dose estrogen and ultra-low systemic doses of estrogen have a better adverse effect profile than standard doses.

  • Alternatives to hormone therapy for vasomotor symptoms include selective serotonin reuptake inhibitors, selective serotonin and norepinephrine reuptake inhibitors, clonidine, and gabapentin.

  • We can prescribe bio-identical hormones, phytoestrogens, herbs and lifestyle modifications to get you back on track. Progestin monotherapy is not recommended.  

Quiz: Do You Know the Conditions Associated With Menopause and How Best to Treat Them? Medscape. Jan 20, 2015.

Topics: Women's Health, Sexual Health

Dr. Isadora Guggenheim

Written by Dr. Isadora Guggenheim

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About Me in Connecticut    
Dr. Isadora Guggenheim is a board-certified and licensed Naturopathic physician and RN in CT. Since 2003, Dr. Guggenheim has seen over 8000 patients and successfully treated Parkinson's, acute and chronic Lyme/co-infections, MS, inflammatory arthritis, psoriatic arthritis, Hashimoto's and other thyroid conditions, erectile dysfunction, prostatitis, cardiovascular disease, allergies, ADD/ADHD, fertility issues, asthma, sarcoidosis, COPD, musculoskeletal issues that require non-surgical interventions, mood disorders, women's issues and hormone balancing for men and women.
 
"Treating and reversing autoimmune conditions is personal to me because I was diagnosed with severe psoriatic arthritis in 2006, figured out the root cause of my disease and have been in remission ever since. I have felt the pain and fear of a chronic debilitating illness. I am on a mission to prevent and reverse the ravages of autoimmune conditions. Disease means change and I assist the patient to make strategic changes to achieve a functional and sustainable remission status. We can't change your genes, but we can turn off your "dirty genes" that express disease. "
 
Dr. Guggenheim has advanced training in environmental medicine, oncology, I.V. therapies, functional nutrition and Ozone therapies. Naturopathy is defined as the diagnosis, prevention and treatment of disease and health optimization by stimulation and support of the body's natural healing processes as approved by the State Board of Naturopathic Examiners and with the consent of the Commissioner of Public Health. 
 
About Me in New York State 
Isadora Guggenheim is a licensed nurse practitioner, registered nurse, certified nutrition specialist and licensed massage therapist. She offers holistic primary care consults and physical exams, nursing services, patient education, nutritional counseling, I.V. therapies and massage therapy. Isadora Guggenheim is the head nurse practitioner for all I.V. therapies. 
 
The practice of the profession of nursing is defined and diagnosing and treating human responses to actual or potential health problems through services as case finding, health teaching, health counseling and provision of care supportive to or restorative of life and well-being, executing medical regimens prescribed by a licensed physician, dentist or other licensed health care provider legally authorized under this title and in accordance with the commissioner's regulations. As a nurse practitioner, Dr. Guggenheim is recognized as a primary care provider who can diagnosis and treat patients autonomously. She has full prescribing rights. 
 
The practice of the profession of massage therapy is defined as engaging in applying a scientific system of activity to the muscular structure of the human body by means of stroking, kneading, tapping and vibrating with the hands or vibrators for the purpose of improving muscle tone and circulation. 
 
Isadora Guggenheim ND, FNP, RN, MS, CNS, LMT 
Naturopathic Doctor (CT and VT only), Family Nurse Practitioner (NY), RN (NY, CT, PA, NJ), Masters in Nutrition, Certified Nutrition Specialist (recognized in all states), Massage Therapist 

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Isadora Guggenheim, ND, FNP, RN, MS, CNS, LMT, owner of Second Nature Naturopathic Care, LLC
 For all appointments: Tel: 845 358-8385 Fax: 845 358-2963 drguggenheim@msn.com