Quiz Q10: And Here Come the Patient’s Copy

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Question 1 of 7

1. Question
For a woman in her mid-30s, which of the following is/are a common occurrence?
- 1) Frequent and more intense periods.
- 2) Occasional cycles with mild breast tenderness which she hasn't had since menarche.
- 3) Irregular cycles.
- 4) Regular cycles with occasional and new unexplained mild anxiety.
- 5) Although ovulation and menstruation are regular, progesterone has declined earlier and more profoundly than estrogen has declined.
- 6) This patient could benefit from small doses of estrogen.
- 7) This patient could benefit from transdermal progesterone.
- 8) New onset of weight gain from lower thyroid function, resulting from lower progesterone presence, can occur.
- All answers are incorrect.
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Question 2 of 7

2. Question
Which of the following is/are a common occurrence for a woman in her mid-40s who is still having mostly regular cycles with occasional irregularly-timed cycles?
- 1) During the time of an irregular cycle, her mood and energy levels feel more stable.
- 2) New unexplainable panic attacks and trouble falling asleep during an irregular cycle.
- 3) She is still ovulating in her mid-forties.
- 4) She is not ovulating during an irregular cycle.
- 5) She could need estrogen Rx during panic attacks and sleep disturbances.
- 6) She could need progesterone Rx because her progesterone level is extremely low during a non-ovulatory cycle.
- 7) Profound estrogen dominance can occur during an irregular cycle.
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Question 3 of 7

3. Question
For a woman in her early 50s who is beginning to have erratically timed cycles, which of the following is/are a common occurrence?
- 1) She very well could be having breast tenderness.
- 2) She very well could be having hot flashes.
- 3) It is unlikely for a woman to have hot flashes and breast tenderness at the same time.
- 4) This is a good time to test a woman's hormone levels to define what is going on accurately.
- 5) It is a mistake to test a woman's hormone levels at this time.
- 6) She might benefit from estrogen Rx even though she is still menstruating.
- 7) She might benefit from progesterone Rx even though she is still menstruating.
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Question 4 of 7

4. Question
For a woman in her mid-50s who has not had menses x 16 months, which of the following is/are a common occurrence?
- 1) She could experience weight gain, anxiety, hot flashes, vaginal dryness, recurrent cystitis, sleep disturbance, and awakening in the night with a racing mind.
- 2) She should be tested to discover what her hormone levels are prior to considering treatment.
- 3) She could have minimal to no symptoms at all, and thus it would be a mistake to treat her with hormones.
- 4) She most likely would benefit from treatment with estrogens and progesterone⏤and possibly androgens.
- 5) She needs treatment quickly and aggressively as she has been without substantial ovarian hormones for so long.
- 6) Many of her hormone receptor sites may have gone dormant: treatment should begin with lower dosages and proceed slowly.
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Question 5 of 7

5. Question
Once menstruation has ceased…
- 1) Ovarian hormone levels are obviously low: the possible deleterious effects are in full play.
- 2) Ovarian hormone levels are obviously low and will continue to significantly and consequentially decline into her 80s and beyond.
- 3) It is too late to treat a woman who has gone without ovarian hormone treatment for more than 10 years.
- 4) Elderly women of any age may benefit from beginning hormone treatment, providing coronary artery assessment is favorable.
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Question 6 of 7

6. Question
By the time periods have ceased entirely…
- 1) Estrogen levels are very low.
- 2) Progesterone levels are very low.
- 3) Androgen levels are very low.
- 4) She needs to be treated with ovarian hormones.
- 5) She should be treated with androgens.
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Question 7 of 7

7. Question
Androgens…
- 1) Can significantly decline before the decline in estrogens and progesterone.
- 2) Can significantly decline between one and three years after the decline of estrogens and progesterone.
- 3) Can be elevated at the onset of menopause.
- 4) Can be the source of some estrogen.
- 5) Will, for certain, eventually undergo a profound decline.
- 6) Are as important to treat as almost any hormone you can name because of the probability of sarcopenia.
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Menopause Mastery (The Institute of Bioidentical Medicine) Copy

Quiz Q10: And Here Come the Patient’s Copy

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