The primary care NP sees a woman who has been taking HT for menopausal symptoms for 3 years. The NP decreases the dosage, and several weeks later, the woman calls to report having several hot flashes each day. The NP should:
a. increase the HT dose.
b. discontinue HT.
c. recommend black cohosh to alleviate symptoms.
d. reassure her that these symptoms will diminish over time.
A
The Women's Health Initiative results indicate that HT use for 3 to 5 years is safe and recommend slow weaning after women review HT with their providers at annual visits. If symptoms recur, the dose should be increased until symptoms improve.
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