a 46-year-old, 230lb woman with a family history of breast cancer. she is up to date on yearly mammograms. she has a history of htn. she complains of hot flushing, night sweats, and genitourinary symptoms. she had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. she has a history of ascus about 5 years ago on her pap, other than that, pap smears have been normal. home medications are norvasc 10mg qd and hctz 25mg qd. her bp today is 150/90. she has regular monthly menstrual cycles. her lmp was 1 month ago.

The patient is 46 years old, which means she is in a phase where estrogen levels will begin to drop, marking the onset of menopause.
Menopause starts between 45 and 55 years of age with symptoms such as hot flashes, night sweats, vaginal dryness, and urinary symptoms (genitourinary symptoms).

These problems happen because of the progressive decrease in estrogen. They can be treated with the ingestion of herbal and homeopathic remedies, which seek to normalize hormone levels.

Through questions similar to yours, we can see that your question wants a case study to be done on the patient.

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