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Problem
3.1
Ms.
M is 52 years old. She has been menstruating irregularly for several
years and stopped completely in the last year. At her appointment,
she has numerous complaints. She attributes all of these to menopause
and would like to talk about possible treatments. However, she
is hesitant to use hormone replacement therapies (HRT) because
of the uncertainty and current controversy about health risks.
She
reports, among her symptoms, that she is tired and sleeping poorly. She
awakens frequently at night. She also states that she "is
drying up." She reports that her skin, mouth, eyes, and vagina
are all extremely dry. This is interfering with her sex life,
her ability to eat and speak, and her social interactions. She
also complains of myalgias and arthralgias.
Question
3.1
What
is your next step?
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