Menopause

• Definition: 45+ y/o F with 12+ months amenorrhea and no alternative biophysiologic explanation

• Hot flashes, irregular menses, vaginal dryness, dyspareunia, sleep disturbances, depression/mood change

• Labs

  • TSH if concern for hyperthyroidism

  • Age < 45 with amenorrhea: Obtain hCG, prolactin, TSH, FSH

• Counseling: Expectations per STRAW staging system