45 y/o G4 P3 with decreased libido “Female sexual desire is highly contextual & discontinuous throughout a woman’s lifetime. Desire and response ebb & flow & are dependent on current contextual & relationship variables, as well as historical, biographical, & hormonal factors. In contrast, male sexual desire generally remains fairly constant.”
52 y/o with ostepenia Urogenital tissues Vagina (pH) Bladder Sexual fctn Bone loss Risk factors Treatment Hot flashes
What to DO???
Assessment and Plan for MOM Risk factors: Female age>50 menopausal smoker low BMI Family history ethnicity corticosteroids vitaminD EtOH (>3/d) Prev osteoporotic fracture RhemArth Screening: What? When? Lifestyle recommendations: ________________________________ ________________________________ Prevention/ Treatment: Estrogen yes no why? _______________________ SERM yes no why? _________________________ Bisphosphonate yes no why?___________________ Follow-up:_____________