Managing Menopausal Symptoms: A Case Presentation and Treatment Plan

MENOPAUSE
Managing Menopausal Symptoms

Case presentation: Emma Peterson
 50 year old post-menopausal woman
 Presented with two to three hot flashes per day with insomnia and vaginal dryness.
 Symptoms present for the past 3 months and wake her from sleep two to three times a week.
 Past medical history includes treatment for depression, GERD, hypothyroidism and
hypertension. She is on paroxetine, hydrochlorothiazide, omeprazole and Synthroid. She has a
family history of
 Vital signs were essentially normal
 Lab work done showed increased FSH levels of 87.8 mIU/ml

MENOPAUSE
The patient presents with symptoms of early menopause.
Problems encountered in menopause include
 hot flashes, headaches, tachycardia and night sweats (Freedman, 2014).
 Osteopenia and risk of osteoporosis with back and joint pain
 Depression, insomnia, and other psychological symptoms
 thinning of mucous membranes, vaginal dryness and bleeding
 soft issue atrophy including breast and skin.
The patient presented with hot flashes, night sweats, vaginal dryness and depression. Her
assessment shows normal breast appearance and labs show normal calcium but increased FSH
levels. Her menopause symptoms are not as severe.
Al-Safi & Santoro, 2014.