A 54-year-old menopausal patient comes to the family nurse practitioner with com
ID: 136595 • Letter: A
Question
A 54-year-old menopausal patient comes to the family nurse practitioner with complaints of a complete loss of libido. She has been using estradiol (Vivelle) daily for four months with 65% improvement in her vasomotor symptoms. Which of the following would be an appropriate management choice for this patient?
Select one:
a. Continue using estradiol (Vivelle) and add methyltestosterone 1.25 mg daily to her current regimen.
b. Discontinue the estradiol (Vivelle) and begin Premarin vaginal cream 0.625 mg.
c. Discontinue estradiol (Vivelle) and add methyltestosterone 1.25 mg daily to her current regimen.
d. Continue using estradiol (Vivelle) and add Premarin vaginal cream 0.625 mg.
Explanation / Answer
Correct Answer:-(a)Continue using estradiol (Vivelle) and add methyltestosterone 1.25 mg daily to her current regimen.
Explanation-Methyltestosterone combined with estradiol offers similar relief of vasomotor symptoms to postmenopausal women.
-As compared with estrogen therapy along with improvements in sexual function and quality of life,which do not occur with estrogen therapy.
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