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  #1  
Old 11-21-2010
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Arrow Another Simple question but helps to reinforce the concepts!

A 52-year-old female presents to the office with a complaint of hot flashes. You suspect menopause. Which of the findings below would confirm your diagnosis?

A. Normal androgen level
B. Normal or low estrogen level
C. Normal prolactin level
D. High FSH and LH
E. High androgen level
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  #2  
Old 11-21-2010
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i would go with D increase FSH n LH
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  #3  
Old 11-21-2010
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any other answers and please give the explanation too...
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Old 11-21-2010
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Quote:
Originally Posted by Dr.Sidd View Post
A 52-year-old female presents to the office with a complaint of hot flashes. You suspect menopause. Which of the findings below would confirm your diagnosis?

A. Normal androgen level
B. Normal or low estrogen level
C. Normal prolactin level
D. High FSH and LH
E. High androgen level
most probably its high fsh........
expl:at menopause esterogen level decreases so inhibitory effect of estrogen on FSH & LH is lost hence they increase
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  #5  
Old 11-21-2010
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Thats the correct answer!
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  #6  
Old 11-21-2010
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Hormonal levels in full blown menopausal women should show:

Estrogen (Estradiol) = <25 (normal = 25-75 pg/ml
FSH = >120mlU/ml (normal = 3-20 mlU/ml)
LH = >20 mlU/ml (normal = 5-20 mlU/ml)

The pituitary gland secretes FSH in response to low estrogen levels. Because estrogen levels decrease as a woman approach menopause, FSH and LH levels tend to be higher.

Testing levels of FSH and LH alone cannot be used to predict or confirm menopause because the levels can fluctuate greatly from month to month in the years approaching menopause.
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Old 11-21-2010
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So we use a combination of High FSH / LH and Low Estrogen to diagnose menopause? Thanks for the q...
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