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Menopause vasomotor symptoms — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Menopause vasomotor symptomsUSMLE Step 3

A 51-year-old woman has bothersome hot flashes and night sweats 8 months after her last menstrual period. She has no breast cancer, coronary disease, stroke, venous thromboembolism, or unexplained vaginal bleeding. Uterus is intact. Which of the following is the most appropriate next step in management?

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Correct answer: D — Offer combined estrogen-progestin menopausal hormone therapy after shared decision-making

For bothersome vasomotor symptoms in a recently menopausal patient without contraindications and with a uterus, systemic estrogen plus progestin is effective.

Reference: North American Menopause Society Hormone Therapy Position Statement