Essay Example on Vaginal Atrophy: Assessing Risk Factors Through Tests

Introduction

Objective/subjective data given includes symptoms of Virginal Atrophy. Through an R/O (rule out) form of assessment, breast biopsy has never been an issue in the family, but there are cases of osteoporosis cases in the family. Therefore, an acid balance test and visual examination of genitalia examination would be necessary (Krause, Wheeler, Richter, & Snyder, 2010). I final test would be bone density testing to check the possibility of osteoporosis. The BMI of 19.8 at the age of 53 is average, and but also need to maintenance (Baig, Lateef & Azhar, 2011). Further, I will recommend a treatment that causes low levels of estrogen in the blood; the most appropriate is estrogen pills in low dosage.

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General Treatment of Menopause and Osteoporosis with Hormones

Upon diagnosis of loss of labial, dryness, and vulvar fullness. I would use oral estrogen and lubricants for treatment. If the bone density level is below 2.5, I would recommend soluble lubricants at any time since they lack estrogens, and transparent labs Vitamin D3 to boost strength and strong bones (Rad, Tadayon, Abbaspour, Latifi, Rashidi, & Delaviz, 2015).

Counseling

I would encourage the patients to indulge in physical exercise to build and strengthen bone density. Further, I would advise her to maximize vitamin D and home-remedies, a diet like sardines, milk, oyster sun exposure (Hardy, Mishra, & Kuh, 2008). Dryness is the reason the libido is lowering, and she is not as comfortable as a sexually active woman (in marriage). I would also urge her to quit smoking since it reduces libido strengthen and increases the risk of osteoporosis.

Bio-Identical Hormones and Compounding with Saliva Testing

Bio-Identical hormones through saliva testing are necessary to detect the need for estrogen replacement (Chervenak, 2009). Compounding Bio-identical with saliva testing has been regarded as an effective way since it steroid hormones are first seen in the saliva gland.

References

Baig, M., Lateef, M., & Azhar, A. (2011). Relationship of Age, BMI, Serum Calcium, and Estradiol with BMD in Postmenopausal Osteoporotic Females. Retrieved from https://s3.amazonaws.com/academia.edu.documents/50094753/Health_Problems_of_Children_in_Women_Jail_Karachi.pdf?response-content-disposition=inline%3B%20filename%3DHealth_Problems_of_Children_in_Women_Jai.pdf&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=AKIAIWOWYYGZ2Y53UL3A%2F20200317%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Date=20200317T083838Z&X-Amz-Expires=3600&X-AmzSignedHeaders=host&X-AmzSignature=1a2b88891a52c4180cb7b84a01c0b2c87b163a1614e98e60f86c1ec4f9916082#page=16

Chervenak, J. (2009). Bioidentical hormones for mature women. Maturitas, 64(2), 86-89. Retrieved from https://doi.org/10.1016/j.maturitas.2009.08.002

Hardy, R., Mishra, G. D., & Kuh, D. (2008). Body mass index trajectories and age at menopause in a British birth cohort. Maturitas, 59(4), 304-314. doi: 10.1016/j.maturitas.2008.02.009

Krause, M., Wheeler, T. L., Richter, H. E., & Snyder, T. E. (2010). Systemic effects of vaginally administered estrogen therapy: a review. Female pelvic medicine & reconstructive surgery, 16(3), 188. doi: 10.1097/SPV.0b013e3181d7e86e

Rad, P., Tadayon, M., Abbaspour, M., Latifi, S. M., Rashidi, I., & Delaviz, H. (2015). The effect of vitamin D on vaginal atrophy in postmenopausal women. Iranian journal of nursing and midwifery research, 20(2), 211. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4387645/