Question 1

What is a possible cause of decreased arousal, libido, and orgasm in a postmenopausal woman?&#10;A) Diminished testosterone&#10;B) Endometriosis&#10;C) Low estrogen levels&#10;D) Uterine prolapse

Accepted Answer

Diminished testosterone is a possible cause of decreased arousal, libido, and orgasm in a postmenopausal woman because it is a hormone that plays a role in sexual function.

Question 2

A female patient with vaginal atrophy is prescribed a local estrogen therapy product with conjugated equine estrogen cream. What will the provider recommend as adjunctive therapy for this patient?&#10;A) Adding progesterone to the regimen&#10;B) Pelvic floor physical therapy&#10;C) Treatment with a testosterone patch&#10;D) Trigger point injections

Accepted Answer

When prescribing local estrogen therapy to women with vaginal atrophy, it is important to also prescribe a progestin or recommend combination hormone therapy to protect against endometrial hyperplasia and cancer. Therefore, the provider is likely to recommend adding progesterone to the regimen as adjunctive therapy. Pelvic floor physical therapy, testosterone patch, and trigger point injections are not typically used as adjunctive therapy in the treatment of vaginal atrophy.

Deck 151: Sexual Dysfunction Female