Menopause resident survival guide: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
Shown below is an algorithm summarizing the diagnosis of | Shown below is an algorithm summarizing the diagnosis of [[menopause]]. <ref name="StuenkelDavis2015">{{cite journal|last1=Stuenkel|first1=Cynthia A.|last2=Davis|first2=Susan R.|last3=Gompel|first3=Anne|last4=Lumsden|first4=Mary Ann|last5=Murad|first5=M. Hassan|last6=Pinkerton|first6=JoAnn V.|last7=Santen|first7=Richard J.|title=Treatment of Symptoms of the Menopause: An Endocrine Society Clinical Practice Guideline|journal=The Journal of Clinical Endocrinology & Metabolism|volume=100|issue=11|year=2015|pages=3975–4011|issn=0021-972X|doi=10.1210/jc.2015-2236}}</ref> | ||
{{ | <ref>https://www.nice.org.uk/guidance/ng23/chapter/Recommendations</ref> <ref>https://www.menopause.org.au/hp/gp-hp-resources/300-diagnosing-menopause</ref> | ||
{{familytree/start |summary= Menopause diagnosis Algorithm.}} | |||
{{familytree | | | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | | | | | |A01=Presence of [[Menopausal]] Symptoms<br>+ irregular/absent [[menstrual periods]]}} | |||
{{familytree | | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | |}} | |||
{{familytree | | | | | | | | | | | | | | | | | B01 | | | | | | | | | | | | | | | | |B01=Age}} | |||
{{familytree | | | | |,|-|-|-|-|-|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|-|-|-|-|.| | | | | |}} | |||
{{familytree | | | | C01 | | | | | | | | | | | C02 | | | | | | | | | | C03 | | | | | |C01= ≥45 years| C02= 40-45 years| C03= ≤40 years}} | |||
{{familytree | | | | |!| | | | | | | | | | | | |!| | | | | | | | | | | |!| | | | |}} | |||
{{familytree | | | | D01 | | | | | | | | | | | D02 | | | | | | | | | | D03 | | | | | |D01=Uterus| D02= Rule out other causes<br> like <br> [[pregnancy]],<br> [[hyperthyroidism]],<br> [[prolactinoma]]| D03= Rule out <br> medical and surgical causes of <br> [[amenorrhea]]/[[oligomenorrhe]]}} | |||
{{familytree | |,|-|-|^|-|-|.| | | | | | |,|-|-|^|-|-|.| | | | | | | | |!| | | | | |}} | |||
{{familytree | E01 | | | | E02 | | | | | E03 | | | | E04 | | | | | | | E05 | | | | | | | | |E01=Absent| E02= Present| E03= Normal| E04= Abnormal| E05= Measure<br> [[FSH]] and [[Estradiol]] <br> two samples <br> 4-6 weeks apart}} | |||
{{familytree | |!| | | |,|-|^|-|.| | | | |!| | | | | |!| | | | | | | | |!| | | |}} | |||
{{familytree | F01 | | F02 | | F03 | | | F04 | | | | F05 | | | | | | | F06 | | | | | | | |F01=[[Menopause]] diagnosed <br> based on <br> symptoms | F02= Irregular [[periods]]+ <br> [[menopausal]] symptoms| F03= [[Amenorrhea]]>12 months <br> ± [[menopausal]] symptoms| F04= [[Amenorrhea]] > 12 months |F05 = [[Menopause]] ruled out | F06 = [[FSH]] elevated <br> [[Estradiol]] depressed }} | |||
{{familytree | | | | | |!| | | |!| | | | |!| | | | | | | | | | | | | | |!| | | | |}} | |||
{{familytree | | | | | G01 | | G02 | | | G03 | | | | | | | | | | | | | G04 | | | | | | | |G01=[[Perimenopause]] | G02 = Menopause | G03 = Early menopause | G04= [[Premature ovarian failure]] }} | |||
{{familytree/end}} | {{familytree/end}} | ||
Revision as of 07:57, 23 January 2021
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayeesha Kattubadi, M.B.B.S[2]
Synonyms and keywords:
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
Common Causes
- Natural menopause
- Premature ovarian failure or Early menopause
- Surgical menopause
- Chemotherapy and radiation induced menopause
Diagnosis
Shown below is an algorithm summarizing the diagnosis of menopause. [5] [6] [7]
| Presence of Menopausal Symptoms + irregular/absent menstrual periods | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Age | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ≥45 years | 40-45 years | ≤40 years | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Uterus | Rule out other causes like pregnancy, hyperthyroidism, prolactinoma | Rule out medical and surgical causes of amenorrhea/oligomenorrhe | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Absent | Present | Normal | Abnormal | Measure FSH and Estradiol two samples 4-6 weeks apart | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Menopause diagnosed based on symptoms | Irregular periods+ menopausal symptoms | Amenorrhea>12 months ± menopausal symptoms | Amenorrhea > 12 months | Menopause ruled out | FSH elevated Estradiol depressed | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Perimenopause | Menopause | Early menopause | Premature ovarian failure | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ Rodriguez M, Shoupe D (2015). "Surgical Menopause". Endocrinol Metab Clin North Am. 44 (3): 531–42. doi:10.1016/j.ecl.2015.05.003. PMID 26316241.
- ↑ Secoșan C, Balint O, Pirtea L, Grigoraș D, Bălulescu L, Ilina R (2019). "Surgically Induced Menopause-A Practical Review of Literature". Medicina (Kaunas). 55 (8). doi:10.3390/medicina55080482. PMC 6722518 Check
|pmc=value (help). PMID 31416275. - ↑ Torrealday S, Kodaman P, Pal L (2017). "Premature Ovarian Insufficiency - an update on recent advances in understanding and management". F1000Res. 6: 2069. doi:10.12688/f1000research.11948.1. PMC 5710309. PMID 29225794.
- ↑ Liem GS, Mo FK, Pang E, Suen JJ, Tang NL, Lee KM; et al. (2015). "Chemotherapy-Related Amenorrhea and Menopause in Young Chinese Breast Cancer Patients: Analysis on Incidence, Risk Factors and Serum Hormone Profiles". PLoS One. 10 (10): e0140842. doi:10.1371/journal.pone.0140842. PMC 4613138. PMID 26485568.
- ↑ Stuenkel, Cynthia A.; Davis, Susan R.; Gompel, Anne; Lumsden, Mary Ann; Murad, M. Hassan; Pinkerton, JoAnn V.; Santen, Richard J. (2015). "Treatment of Symptoms of the Menopause: An Endocrine Society Clinical Practice Guideline". The Journal of Clinical Endocrinology & Metabolism. 100 (11): 3975–4011. doi:10.1210/jc.2015-2236. ISSN 0021-972X.
- ↑ https://www.nice.org.uk/guidance/ng23/chapter/Recommendations
- ↑ https://www.menopause.org.au/hp/gp-hp-resources/300-diagnosing-menopause