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Menopause — DRCOG MCQ

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EasyGynaecologyMenopauseDRCOG

A 52-year-old woman has not had a period for 14 months and has hot flushes and night sweats. She is otherwise well and asks whether she needs a blood test to confirm menopause. What is the most likely diagnosis?

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Correct answer: C — Menopause can be diagnosed clinically without FSH testing

In women aged over 45 with typical symptoms and amenorrhoea, menopause is diagnosed clinically and FSH testing is not usually required. FSH testing is more useful in suspected premature ovarian insufficiency. CA125 and MRI do not confirm menopause. Premature ovarian insufficiency applies to menopause before age 40.

Reference: NICE NG23