A 50-year-old woman reports severe,frequent hot flashes and vaginal dryness.She is having irregular periods.She has no family history of CHD or breast cancer and has no personal risk factors.The primary care NP should recommend:

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Oral contraceptive pills are not approved by the U.S.Food and Drug Administration for management of perimenopausal symptoms except to treat irregular menstrual bleeding.This patient has a low risk for CHD and breast cancer,so oral contraceptive pills are relatively safe.She is also at risk for pregnancy,so oral contraceptive pills can help to prevent that.

A 50-Year-Old Woman Reports Severe,frequent Hot Flashes and Vaginal Dryness