Access Medicine's Case of the Week: Women's Health

From: Graber and Wilbur’s Family Medicine Examination and Board Review, 4th Edition: Obstetrics and Women's Health: Case 15.14
Access Medicine's Case of the Week: Women's Health


A 52-year-old female patient of yours presents for an annual examination and Pap smear. Her last menstrual period was 3 months ago. She has intermittent hot flashes and night sweats. Her examination is remarkable for mild vaginal atrophy. She wonders about "estrogen testing" to see if she needs hormone replacement therapy.

Question 1 of 7

How will you counsel her about the role of estrogen testing? 

A - Recommend against estrogen testing

B - Recommend buccal swab testing as it is the most accurate

C - Recommend fasting morning serum estradiol testing

D - Recommend estrogen testing with FSH to ensure menopause status

E - Recommend annual estrogen testing after the age of 55 years

Click HERE to view the full progressive case and answer all 7 questions! 

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