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Coursework Assignment on 631 Mod 14 response

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Coursework Assignment on 631 Mod 14 response
631 Mod 14 responses Please respond to the following 2 peer’s posts individually this is not a combined response. To ensure that your responses are substantive, use at least two of these prompts: Do you agree with your peers’ assessment? Take an opposing view to a peer and present a logical argument supporting an alternate opinion. Share your thoughts on how you support their opinion and explain why. Present new references that support your opinions. Please be sure to validate your opinions and ideas with citations and references in APA format. No less that 5 years for resources and they must be scholarly (Like Books). No random websites
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Post number one 
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Post 1
Stephanie Jaser
Question 1 Perimenopause
Perimenopause can sneak up on women. It has sometimes been referred to as “menopause transition” (Cleveland Clinic, 2019). Common symptoms include mood swings, difficulty sleeping, and hot flashes (Dolgen, 2016). Perimenopause can begin as early as the late 30’s, typically occurring about 10 years before menopause (Cleveland Clinic, 2019). Other symptoms may include a ‘brain fog,’ or lack of mental clarity, vaginal dryness, migraines, irregular periods, worsened premenstrual syndrome, and breast tenderness (Cleveland Clinic, 2019). It is important to educate women that they are still able to get pregnant during this time (Cleveland Clinic, 2019). Therefore, if women who are experiencing perimenopause desire a pregnancy, this is still possible for them, and if they do not desire a pregnancy, they should be offered birth control options (Cleveland Clinic, 2019). During perimenopause the amount of estrogen being produced by the woman’s body is gradually being reduced (Cleveland Clinic, 2019). The average length of perimenopause is about 4 years, however it can last up to 12 years or much shorter (Cleveland Clinic, 2019). Some women may also complain of urinary symptoms or palpitations. In these instances it is best to investigate other causes of these symptoms to ensure that the patient doesn’t have any concurrent new onset comorbidities and that these symptoms are truly a result of perimenopause (Cleveland Clinic, 2019).
References
Cleveland Clinic (2019). Menopause, perimenopause and postmenopause. Retrieved from: https://my.clevelandclinic.org/health/diseases/15224-menopause-perimenopause-and-postmenopause
Dolgen, E. (2016). Perimenopause: hot to spot (and stop!) the symptoms. Retrieved from: https://www.plannedparenthood.org/planned-parenthood-pacific-southwest/blog/perimenopause-how-to-spot-and-stop-the-symptoms
Reply
Post 2
Collapse SubdiscussionSarah Miller
Sarah Miller
10:02amAug 14 at 10:02am
Manage Discussion Entry
Week 14 Question 1
Clinical Signs of Perimenopause
Perimenopause, also called the menopausal transition, is the interval in which many woman have irregular menstrual cycles before actual menopause, which is defined as the loss of menses for more than twelve consecutive months (National Collaborating Centre for Women’s and Children’s Health, 2015). This is a time where some women can be plagued by nagging symptoms, while others rejoice knowing that menses is close to ceasing and pregnancy will soon no longer be a concern. Perimenopausal symptoms experienced by many women include loss of concentration, disruption of cognition, lack of sleep, irritability, vaginal atrophy, vaginal dryness, changes in libido, emotional lability, and increased stress (Hackley, 2017). Some women may experience every symptom, others may have just a few, and some are fortunate enough not to experience any.
Clinical Implications of Perimenopause
Premenopause can be marked by varying menstrual cycles with amenorrhea intervals. However, the patient is still ovulating and can get pregnant during this time, so family planning or avoidance of pregnancy needs to be discussed. It is not until there is absence of menses for more than one year, that pregnancy is no longer a concern and the patient is considered officially menopausal. There is increasing variability in serum follicle-stimulating hormone (FSH) levels in the first three years of perimenopause with stabilization above twenty-five international units/L, so evaluating this level can be useful when diagnosing perimenopause (Hackley, 2017). The following conclusions from single studies were made regarding distinguishing perimenopausal women from menopausal/postmenopausal women: consider women aged forty-five and older, assessing the presence of vasomotor symptoms alone was not useful, endocrine tests (inhibin A or inhibin B) were not valuable, obtaining FSH levels in women using hormones is not accurate, and obtaining FSH levels is helpful only in symptomatic women aged forty to forty-five (National Collaborating Centre for Women’s and Children’s Health, 2015).

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