Miss Smith comes to your office for a routine annual exam. S…

Miss Smith comes to your office for a routine annual exam. She complains of “terrible itching down there.” On exam, you note that her vulva is red and inflamed with a yellow frothy vaginal discharge. On wet mount you see trichomonads. She has no allergies. Your plan includes:

A 52 year old woman presents with complaints of fatigue, nig…

A 52 year old woman presents with complaints of fatigue, night sweats, and hot flashes. She reports her last menstrual period was over 2 months ago, but prior to that was usually every 30-40 days. In working her up for menopause, you determine she is in the late menopause transition. She asks how she will know she is in menopause. What is the best response?