shirini2
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The female menopause may be associated with all of the following, EXCEPT
1) increase in appetite.
2) osteoporosis.
3) vasomotor symptoms.
4) atrophy of the vaginal mucosa.
5) atrophy of the urethral mucosa.
I think all of the are in menopause
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| arlete
Forum Fanatic
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5
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| shirini2
Forum Senior
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Are you sure?
I think there is urethral and bladder mucosal atrophy as well..
not sure confused 
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| nany
Forum Guru
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why is the increase in appetite?!
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| shirini2
Forum Senior
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I don't know why just know they can have.
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| shirini2
Forum Senior
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? any idea what the answer is?
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| hero
Forum Guru
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just wonder what exactly could drive appetite up in menopause?
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| arlete
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Psychological issues.
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| maoudoody
Forum Guru
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increase apetite is the one that doesnot occur in menopause
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| Tiff
Forum Guru
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Have to go with #5. I don't think that this is a typical sign of menopause, although urethral atrophy can occur in women with increased age. It just doesn't make sense that it would be directly related to menopause.
Increased or decreased appetite does occur in menopause. Whenever there's hormones involved, appetite can either be suppressed or enhanced.
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| maoudoody
Forum Guru
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decrease in estrogen leads to atrophy of urethral mucosa am sure of this
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| Tiff
Forum Guru
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u'r right. All of the choices seem to be associated. 
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| shirini2
Forum Senior
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Frustrating 
Any body has a reasonable explanation?
Edited by shirini2 on 01/02/08 - 08:35 AM
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| dr19
Forum Senior
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1)
I think it is the best answer.
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| RX 135
O Behavee!
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ureter and progesterone... but urethra mucosa and hormones no idea????
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| ILoveMedicine
Forum Newbie
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the answer is 1
but I dont know why
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| zoster
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Genitourinary atrophy: The tissues of the lower vagina, labia, urethra, and bladder trigone are estrogen dependent. As estrogen levels decrease during menopause, the vaginal walls become pale (because of diminished vascularity), thin (usually decreasing to a thickness of only three or four cells), and vulnerable to ulceration and infection. These changes usually occur within several years of the onset of menopause. The epithelial cells contain less glycogen, which, before menopause, was metabolized by lactobacilli to produce an acidic pH, thereby protecting the vagina from bacterial overgrowth. The vagina also loses its rugae, becoming shorter and inelastic. This condition is called atrophic vaginitis. Patients with atrophic vaginitis may report symptoms secondary to vaginal dryness (eg, dyspareunia, vaginismus) or secondary to vaginal ulceration and infection (eg, vaginal discharge, burning, itching, bleeding).
The similar atrophic changes that occur in the urethral epithelium are called atrophic urethritis. Patients with atrophic urethritis may develop dysuria, urgency, frequency, and stress incontinence (partly because thick, well-vascularized urethral mucosa, which is lost during perimenopause, is necessary to provide resistance to urinary flow). Loss of estrogens may also affect the muscles that help maintain continence. Suprapubic pain can occur, even without infection, possibly because the markedly thin urethral mucosa may allow urine to come in close contact with sensory nerves.
explanined in merck manual...
well thnn 5 is wrong to choose
1 option remains...still confused...
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| Ivonne
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I think it is A
Hypoestrogenism is a risk factor for UTI so E is included in hypoestrogenism.
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| ganesha123
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increase in appetite..?? tho it may occur ..it is not one of the defining criteria of menopause..
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