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

In this case study, a 46-year-old woman presents with hot flushing, night sweats, and genitourinary symptoms.Given her age and sex, and the fact that 95 percent of women enter menopause between 45 and 55 years old, her symptoms appear to be menopausal (Rosenthal & Burchum, 2018).The hot flashes and night sweats symptoms appear to be vasomotor symptoms of menopause.Vasomotor symptoms are typical during the transition into menopause and affects nearly 80 percent of women.The patient also presents with genitourinary symptoms which are typically vaginal dryness and urinary symptoms (Roberts & Hickey, 2016).As estrogen levels decrease, the urethra and vaginal epithelium undergo degenerative changes causing urge incontinence, urinary frequency, dryness

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