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Turn the Heat Down: Menopausal Management

Across
Non-hormonal option for management of hot flashes at night
Atrophic vaginal tissue descriptive term
Instability resulting in hot flashes
HRT protective benefit
Menopause related to surgical intervention (ie, removal of ovaries)
Major metabolism of estrogens
Best dosage form of estrogen for local symptoms
SNRI for non-hormonal management of vasomotor symptoms
Progestin studied in combination therapy in WHI
Impede conversion of tamoxifen to active form
SERM for dyspareunia
MHT that most closely mimics natural hormones
Works centrally to manage hot flashes
Major estrogen in pre-menopausal woman.
Derived from pregnant mare urine
Down
If a patient has a uterus, they cannot have estrogen therapy __________.
Combination product for patients unable to tolerate oral progestin and have a uterus
Best SSRI for non-hormonal hot flush relief
Not effective SSRI for menopausal symptoms
Natural product to manage vasomotor instability
The cessation of female reproductive cycling.
Bioidentical HRT
Estrogen withdrawal causes destabilization of this zone in the hypothalamus
Provides endometrial protection with MHT
Extended time leading up to menopause
Combination therapy helps with HSDD and MHT.
Major longitudinal study that found MHT should be used for the shortest time possible