Apart from the known symptoms of hot flashes, irregular periods and night sweats; health practitioners check on other data such the level of anti-Mullerian hormone (AMH) in blood. According to Huizen (2020), the levels of AMH protein in the blood is a good indication of a woman approaching menopause. However, the test must be used in conjunction to other test. Another important test is the diagnosis of perimenopause. In the diagnosis, a health practitioner considers the following factors; maternal age at menopause, vasomotor, follicle-stimulating hormone (FSH) levels and the ovarian volume. When any of the mentioned factors are elevated then the health practitioner can validate that a patient has menopause. Moreover an early diagnosis of menopause helps in curbing the occurrence of diseases such as osteoporosis, dyspareunia and cataracts.
The patient aged 49 years is suffering from irregular periods and “hot flashes” hence the most effective therapy would be menopause hormonal therapy (MHT). According to Fait (2019), MHT therapy consist of estrogen administration with the doses and timing tailored to each patient. Despite the MHT significantly treating menopause, some women have complained of side effect when using the therapy in the long run. Therefore, the nurse practitioner can present the acupuncture option as an alternative therapy option. Lund et al. (2019) conducted a study to determine the effectiveness of the acupuncture method. Their findings revealed that the latter option is safer especially to women having side effects when using the MHT method. Moreover, the acupuncture significantly reduced the FH levels, day-and-night sweating, hot flushes, and menopause specific sleeping problems. By knowing the pros and cons of each method, then the patient can decide on which method of therapy to use.
Fait, T. (2019). Menopause hormone therapy: latest developments and clinical practice. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317580/
Huizen, J. (2020). Everything you shoud know about menopause. Healthline. Retrieved from https://www.healthline.com/health/menopause
Lund, K. S., Siersma, V., Brodersen, J. & Waldorff, F. B. (2019). Efficacy of a standardized acupuncture approach for women with bothersome menopausal symptoms: a pragmatic randomized study in primary care (the ACOM study). BMJ Open, 9(1). Retrieved from http://bmjopen.com/content/9/1/e023637.full