症例 challenge · Surgical approach decision / Gynecology / Endocrinology · teaching

Menopausal Hormone Therapy (MHT) · Indications and Regimen · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on NAMS 2022

Case #1Surgical approach decision / Gynecology / Endocrinology

📋 Case data

Complaint + age/years since menopause + contraindications + uterusVMS/prevent bone loss, <60 years or <10 years since menopause, no contraindication, post-hysterectomy

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Complaint + age/years since menopause + contraindications + uterus

Complaint (VMS / GSM / bone)? Age and years since menopause? Contraindications? Uterus present?

💡 Contraindications: breast cancer or estrogen-sensitive tumor, coronary disease, prior VTE/stroke/MI, active liver disease, unexplained vaginal bleeding (investigate first).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.