A 66-year-old woman comes in for a routine physical examination. Her menopause occurred at age 51 years, and she currently is taking an estrogen pill along with a progestin pill each day. The past medical history is unremarkable. Her family history includes one maternal cousin with ovarian cancer. On examination, her blood pressure is 120/70, heart rate 70 bpm, and temperature 98°F. She weighs 140 lb and is 5 feet 4 inches tall. The thyroid is normal to palpation. Breast examination reveals no masses or discharge. Abdominal, cardiac, and lung evaluations are within normal limits. Pelvic examination shows a normal, multiparous cervix, a normal-sized uterus, and no adnexal masses. She had undergone mammography 3 months earlier.
^ What is your next step?
♦ What would be the most common cause of mortality for this patient?
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Are Menopause Symptoms Playing Havoc With Your Health and Relationships? Are you tired of the mood swings, dryness, hair loss and wrinkles that come with the change of life? Do you want to do something about it but are wary of taking the estrogen or antidepressants usually prescribed for menopause symptoms?