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Vasomotor symptoms and hormone therapy counselling — MCCQE Part 1 MCQ

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ModerateMenopauseVasomotor symptoms and hormone therapy counsellingMCCQE Part 1

A 51-year-old woman has disruptive hot flushes and night sweats one year after her final menstrual period. She has no history of breast cancer, venous thromboembolism or unexplained bleeding. She asks whether menopausal hormone therapy is reasonable. What should you tell this patient?

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Correct answer: C — Hormone therapy can be considered after shared discussion of benefits, risks and route

For bothersome vasomotor symptoms in an appropriate candidate near menopause, menopausal hormone therapy can be considered after shared decision-making. Compounded bioidentical products are not preferred because dosing and safety oversight are less reliable than approved products. Non-hormonal options exist, but they are not mandatory before discussing hormone therapy.

Reference: SOGC menopause guidance