A 53-year-old woman has severe vasomotor symptoms 18 months after her final menstrual period. She has no uterus because of prior hysterectomy, no

Question

A 53-year-old woman has severe vasomotor symptoms 18 months after her final menstrual period. She has no uterus because of prior hysterectomy, no history of breast cancer or venous thromboembolism, and normal mammography. Which of the following is the most appropriate management?

Accepted Answer

Estrogen therapy after individualized risk-benefit discussion

Answer

Raloxifene for hot flashes

Answer

Combined estrogen-progestin therapy despite absent uterus

Answer

Testosterone therapy as first-line vasomotor treatment

Answer

No treatment because symptoms are not treatable after menopause

Menopausal vasomotor symptoms after hysterectomy — ABIM Board MCQ

A 53-year-old woman has severe vasomotor symptoms 18 months after her final menstrual period. She has no uterus because of prior hysterectomy, no history of breast cancer or venous thromboembolism, and normal mammography. Which of the following is the most appropriate management?