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The Menopause Quiz of SparkPeople and explanation
Quiz by Liza Barnes, Health Educator
Menopause is a time of significant physical and emotional changes. And for some women, it can be a challenging adjustment. Take this quiz to see how much you know and how much you have to learn about this midlife "rite of passage."


Which of the following statements about perimenopause is FALSE?
• It is the time before menopause when hormonal and biological changes and physical symptoms begin to occur
• A woman is usually infertile during this time *****
• It lasts for an average of three to five years
• Common symptoms may include hot flashes, irregular periods, and vaginal dryness

Explanation:
Perimenopause occurs before menopause and lasts about three to five years. Although a woman can experience many different menopausal symptoms during this time, that doesn’t necessarily mean she is infertile. Every woman is considered "fertile" until she has experienced a year or more of absent periods, and confirmed this with her doctor. Visit SparkPeople’s Menopause Condition Center to learn more.

A woman is said to be in menopause when:
• She starts having hot flashes
• She has gone for one full year without experiencing a menstrual period *****
• Her menstrual periods become irregular
• She exhibits symptoms like irritability and depression
• All of the above

Explanation:
Hot flashes and irregular periods begin to occur during perimenopause (the time before menopause). After one full year without periods, a woman is considered to be menopausal, or "in menopause." Symptoms like irritability and depression may occur in some women during this time, but aren’t necessarily caused by menopause.

Osteoporosis (bone loss) is a common concern for aging women who can help prevent it by:
• A - Getting vitamin D from sunlight, food and supplements
• B - Taking a multivitamin daily
• C - Eating a diet rich in calcium
• D - Performing regular exercise
• All of the above *****
• C and D only
• A, C, and D only

Explanation:
Osteoporosis is a potentially debilitating, yet preventable condition. Calcium and Vitamin D intake and regular, weight-bearing exercise are just a few of the ways you can prevent it. Get 31 more tips to strengthen your bones.

Vitamin D and calcium work hand in hand to fight the osteoporosis often associated with menopause. How much vitamin D do you need each day in order to absorb the calcium you consume?
• 25-50 IU
• 100-200 IU
• 400-800 IU ********
• As much as possible

Explanation:
Just a few minutes of sunlight a day can provide your body with ample amounts of vitamin D, but many of us spend most of our time indoors, especially during the winter months. A daily supplement providing 400-800 IU (international unites) of vitamin D can help to ensure you’re meeting your body’s needs. Learn more about eating to prevent osteoporosis.

Which of the following measures can be taken to help prevent or delay the onset menopause?
• Exercising regularly (3-5 times per week)
• Getting 800-1,500 mg. of calcium daily
• Limiting caffeine to less than 300 mg daily
• Maintaining a healthy weight
• All of the above
• None of the above *****

Explanation:
Menopause is a natural event and cannot be stalled or prevented. However, medications, diet and exercise can prevent or eliminate some symptoms of menopause and enhance a woman's quality of life as she grows older. Learn how certain diet and fitnesshabits can help ward off symptoms.

To help relieve some of the discomfort of hot flashes, a woman can:
• A - Begin hormone replacement therapy at the onset of perimenopause
• B - Limit caffeine intake
• C - Take ice baths or cold showers daily
• D - Wear layers of clothing
• All of the above
• None of the above
• B and D only
• A, B and D only ****

Explanation:
Hot flashes are common in most women during perimenopause, menopause, and even the post-menopausal years. More than three cups of coffee or caffeinated beverages per day, or less if you are particularly sensitive, can aggravate hot flashes. Wearing layers of clothing is recommended to help you cool off quickly during a hot flash and warm up if you get chilled after one. Layering blankets on your bed may help if you are experiencing hot flashes at night. Hormone replacement therapy isn't routinely recommended for menopause symptoms these days because it carries other risks, so talk to your doctor about its pros and cons. To learn more about the management and treatment of hot flashes, click here.

Although menopause usually does not require extra medical care, you should see your doctor if:
• Your periods come closer together than every 21 days
• Your periods that last longer than seven days or are very heavy
• You experience bleeding between periods
• You experience vaginal bleeding after more than one year without a period
• All of the above *****

Explanation:
All of these abnormal changes in menstruation could indicate a problem, so check with your doctor.

On average, women in the United States experience menopause at what age?
• 47
• 51 *****
• 59
• 62

Explanation:
Most women in the United States go through menopause around the age of 51, although a small number will experience menopause as early as age 40 or in their late 50’s. Menopause rarely occurs after age 60. Menopause that is diagnosed before age 40 is considered to be abnormal or "premature menopause."

True or False: The hormonal changes of menopause help protect women against cardiovascular disease.
• True
• False ****

Explanation:
Before menopause, women have lower rates of cardiovascular disease than men, in part because of their higher levels of estrogen. After menopause, however, the rate of heart disease in women continues to rise. Women who are 65 and older will experience heart disease equally as often as men of their same age. Get the facts about heart disease in women.

True or False: Falling levels of estrogen during perimenopause and menopause often lead to vaginal dryness and increased risk of vaginal infections.
• True ****
• False

Explanation:
Falling estrogen levels decrease the production of the vagina's natural lubricants. This, in conjunction with the thinning of the lining of the vagina can cause sex to be uncomfortable or even painful. These changes can also lead to inflammation in the vagina known as "atrophic vaginitis" and can make a woman more likely to develop vaginal infections (yeast or bacterial) and urinary tract infections. Lubricants such as Astroglide or K-Y Lubricant can help with dryness during sex. Vaginal moisturizers such as Replens or K-Y Vaginal Moisturizer can help to treat irritation due to dryness. Your doctor can also prescribe a hormonal cream if over the counter treatments do not work.


Show hospitality to strangers for, by doing that, some have entertained angels unawares.
Never stop helping others because others think that they abuse you. That stranger can be Jesus and you lose the opportunity to serve, even in something simple.


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