D.W. is a 56-year-old woman who has been complaining of amenorrhea for the past 11 months. Her current complaints are vaginal dryness, dysparenuia, and hot flashes. Her surgical history includes a hysterectomy. Of now, her sister has a history of estrogen receptor + breast cancer.
What are some signs/symptoms of menopause that D. W. is experiencing?
What would you consider first-line pharmacological treatment for the patient and why? Please provide rationale for your choice of treatment. Also, please include the estimated monthly cost for your treatment.
List two or more adverse effects to the therapy you recommended in question . Please include adverse effects that are either common and/or could be serious and cause you to change therapy.