A 52-year-old woman presents with hot flashes, night sweats, and sleep disturbance. Her menstrual periods have been irregular for 8 months and absent for the past 2 months. Vital signs show BP 138/86 mmHg, HR 88 bpm, RR 16, temp 37.2°C. Fasting glucose is 126 mg/dL. She denies polyuria and polydipsia. She takes no medications. Which laboratory pattern best explains her presentation?

  1. A)High prolactin and high estradiol
  2. B)Normal FSH and high progesterone
  3. C)Low FSH and low LH
  4. D)High FSH and low estradiolGABARITO
  5. E)Low FSH and high estradiol

Explicação

Menopause reflects depletion of ovarian follicles with reduced estrogen production. Loss of negative feedback causes elevated FSH and LH, with FSH often rising the most. Vasomotor symptoms and menstrual cessation strongly support this diagnosis. Ver explicação completa e trilha adaptativa →

Fazer o diagnóstico grátis de USMLE