Question 97 · LEK · Menopause
A 58-year-old patient complains of vaginal dryness and postcoital bleedings. The gynecological examination reveals atrophic lesions in the vagina and normal uterus and uterine appendages. The cytological smear of the cervix is normal. The local vaginal estrogen therapy has been recommended and thus the patient should:
- A. receive simultaneous gestagen therapy in order to prevent the overgrowth of endometrium and the development of endometrial cancer.
- B. receive simultaneous gestagen therapy in order to prevent the development of breast cancer.
- C. receive simultaneous gestagen therapy in order to prevent the development of cervical cancer.
- D. receive simultaneous gestagen therapy in order to decrease the risk of a stroke.
- E. there is no indication for gestagen therapy in this patient.
Hint
Consider how much estrogen reaches the circulation and the endometrium with low-dose vaginal preparations.
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