Testing menopausal hormone levels: Is it necessary? скачать в хорошем качестве

Testing menopausal hormone levels: Is it necessary?

Jean M. Marino, APRN-CNP, NCMP, IF, discusses her article in the June edition of Women's Healthcare, a Clinical Journal for NPs. Article: https://www.npwomenshealthcare.com/te... Transcript: "Hi everyone, my name is Jean Marino and I'm a women's health nurse practitioner. I've been practicing in Cleveland, Ohio for about 10 years now and my two areas of specialty are menopause and women's sexual health. One of the most common questions I get asked is about hormone testing. Should we be doing it? What are we looking for? Do we need it to diagnose perimenopause and menopause? Do we need labs before we can prescribe hormone therapy? In the June issue of Women's Healthcare, A Clinical Guide for NPs, and the official journal for NPWH, I have an article that's going to answer that question: Is hormone testing necessary? I'm going to do that by looking at three specific patient scenarios. Our first patient is perimenopausal. She's having some irregular cycles, some bothersome symptoms. She had an FSH and an estrogen level checked and they were both elevated, but she doesn't know what that means and she needs your help interpreting it. She's also wondering if based off of those lab values, you think she should be on hormone therapy. Our second patient has been amenorrhea for the last six years, ever since her progesterone-releasing IUD was placed. She's not sleeping well anymore. She's feeling more warmer than usual, but she doesn't know if that means she's having hot flashes. Her question to you is, how are you ever going to know when she's in menopause? Does she even need this IUD anymore? But she definitely doesn't want an unplanned pregnancy, so she needs you to be really sure. And our last patient is menopausal. She's been menopausal for the last year. She started on hormone therapy six months earlier, and initially she felt great. But now she comes to your office because she said her hot flashes have come back with a vengeance. And she's wondering if you should be testing your hormones so that you know what the right dose is for her. So to find the answers to these questions and what the evidence has to say about hormone testing, look for that article coming out in June. Thank you."