Question

A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago. What is a diagnosis?

Answer 1

diagnosis is PERIMENOPAUSAL

its the time around in which menstrual cycle about to stop, and this is transition phase

in which hormonal and other changes occur

so features are

• hot flushing
• , night sweats,
• genitourinary symptoms.
• mood swing

some precaution to be taken to avoid fruther complication

• take calcium rich diet
• take more fluid intake
• more vitamin d in diet
• be physically active
• increasw moree fibrousdiet rather carbohydrate rich diet
• avoid intake of caffeine in form of tea, coffee
• avoid smking
• avoid alcohol
• avoid more fatty diet
• include protein rich diet