A 45-year-old woman presents with changes in her menstrual period along with hot flashes and vaginal dryness. Menstrual periods have changed during the past 9 months, with cycles ranging from 20 to 60 days. She had light vaginal bleeding between the last 2 periods. She requests a prescription for an oral contraceptive to regulate bleeding and reduce hot flashes. Oral contraceptives were well tolerated in the past. She underwent a tubal ligation at 35 years of age.
She is a non-smoker, has normal lipid levels and blood pressure, but is overweight. She takes no prescription medications. The findings on her physical examination, including breast and pelvic examination with Papanicolaou test, are normal. How would you manage this patient? *This case is from Docplexus editorial team for educative purpose only Source: Cases in Gynecology Stay connected, the answer will be posted in 48 hrs
