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Write a 5 pages paper on alterations during menopause. If she has been exercising, what kind of exercises does she perform? This particular question could also answer why she is feeling tired all of a
Write a 5 pages paper on alterations during menopause. If she has been exercising, what kind of exercises does she perform? This particular question could also answer why she is feeling tired all of a sudden. Likewise, asking her whether or not she can tolerate heat is also necessary because of the possible presence of thermoregulatory center dysfunction (p. 351).
The patient’s initial history which includes her age and complaints of fatigue, hot flashes, perivaginal itching, dyspareunia, and vaginal discharge with several months of erratic cycles are signs of menopausal transition. Late menopausal transitions are often characterized by more than two skipped periods with an interval of amenorrhea of >.60 days. This explains why the patient had erratic cycles even though her menstrual period stopped 15 months ago (p. 350).
To confirm the possibility that the patient is going through the menopausal transition, I would like to ask the patient is she has a history of smoking since the habit of smoking could lead to early menopausal even though menopausal can occur between the age of 40 to 60 years old. Likewise, it is necessary to determine the length of her menstrual cycle in the past, whether or not she has been using the non-contraceptive hormone, the presence of osteoporosis, and whether or not she has an Asian descent since these factors could equally contribute to the early cessation of menstruation (p. 349). It has been noted that menstrual cycle shorter than 26 days is a significant indicator wherein the patient could have an early menopausal.
