Menopause and testosterone replacment

vitohuxo's version from 2016-03-16 00:00


Question Answer
menopausedecrease in estorgen and progestin causes increase FSH causing hot flashes and night sweats. vaginal dryness can occur.
most effective therapy for vasomotor symptoms is estrogen= causes decrease LH and more stable temp control.
women's health initiative looking at hormone replacement therapy found majority risk was inhighest in older women. best if under 60.
lower risks CV forms estrogentransdermal and low dose oral.
estrogen SEnausea, dizziness, headaches, mood changes, vaginal bleeding, bloating, breast tenderness
natural products for vasomotor symptomsblack cohosh, red clover, soy, flaxseed, dong quai, st johns wort
block effectiveness of tamoxifen and no use with warfarinparoxetien (brisdelle) for mod severe menopausal symptoms vasomotor
osphenaospemifene- estrogen agonist/antagonist indicated for severe painful intervourse due to menopause. VTE risk!
patch applicationappy to lower abdomen below the waistline, do not apply the patch to breasts.
treating opiod dependence with ___ can sig decrease testosterone methadone
drugs can cause decreased testosteronechemo drugs, cimetidine, spironolactone
clear benefit of sexual function improved testosteone use has not beenestablished
testesterone should only be used men wholow testosterone confirmed by lab test cuased by certain medical conditions due to risk CV complications.
tsetosterone increaseshematocrit, which may increase clotting risk.
testosteron and BPHcan cause enlarged prostate growth non cancerous and shouldnt b eused guys severe BPH
male taking 5 alpha reductase inhibitor for BPH use testoastone?no doesnt make sense since inhibit conversion to active form.
SE testosterone usebaldness, acne, gynecomastia
most well tolerated testosteroneandrogel.
axironapplied to underarms
androderm patch applicationapply each night causes skin irritation. remove before MRI, avoid getting wet at least 3 hrs after applying, after removal can treat irritation with hydrocrotisone
testosterone SEincreased appetite and hepatotoxicity