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Quick Medical Diagnosis & Treatment
Menopausal Syndrome
Sections: Key Features, Essentials of Diagnosis, General Considerations, Demographics, Clinical Findings, Symptoms and Signs, Differential Diagnosis, Diagnosis, Laboratory Tests, Treatment, Medications, Natural menopause, Surgical menopause, Outcome, Follow-Up, Complications, Prevention, References,
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Topics Discussed: menopausal syndrome.
Excerpt: | |  Oral conjugated estrogens, 0.3 mg or 0.625 mg; estradiol, 0.5 or 1 mg; or estrone sulfate, 0.625 mg; or estradiol can be given transdermally as skin patches that are changed once or twice weekly and secrete 0.05–0.1 mg of hormone daily
Unless the patient has undergone hysterectomy, a combination regimen of the estrogen with a progestin such as medroxyprogesterone, 1.5 or 2.5 mg, or norethindrone, 0.1, 0.25 or 0.5 mg, should be used to prevent endometrial hyperplasia or cancer; a patch containing estradiol and levonorgestrel is also available | | – Give estrogen on days 1–25 of each calendar month, with 5–10 mg of oral medroxyprogesterone acetate added on days 14–25. Withhold hormones from day 26 until the end of the month, which will produce a light, generally painless monthly period – Alternatively, give the estrogen along with a progestin daily without stopping...."
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