What is the focus of the clinical history in the pretreatment evaluation for menopausal hormone replacement therapy (HRT)?

Updated: Sep 24, 2019
  • Author: Nicole K Banks, MD; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
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Answer

Answer

All patients who are candidates for hormone therapy should be thoroughly evaluated by means of a detailed history and complete physical examination. The objectives are making a proper diagnosis and identifying any contraindications.

Components of a full history are as follows:

  • Personal history

  • Social history

  • Obstetric history

  • Gynecologic history

  • Menstrual and sexual history

  • Previous medical history (eg, of diabetes, hypertension, jaundice, gallstones, hepatic disease, thrombosis)

  • Previous surgical interventions

  • Menopausal symptoms

  • Psychiatric problems

  • Skeletal symptoms

  • Psychomotor symptoms

  • Cognitive performance


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