History of present illness

Reference no: EM133695751

Question

Case and Description of the Case: History of Present Illness (HPI): Roberta, a 53-year-old mother of two children, presents to your clinic with c/o vaginal dryness and low sexual desire. She went into surgical menopause at the time of a total hysterectomy for leiomyomas 5 years ago. She took HRT for severe climacteric symptoms for 2 years, which she discontinued 3 years ago due to breast pain and a fear of breast cancer. She states her sex life before surgery was active and satisfying. After the hysterectomy, her desire diminished considerably, although at first she was not too concerned about it. Lately, however, because of this lack of desire, she now complains of quite a reduction in sexual activity which is also less satisfying. When she does have intercourse, she experiences dyspareunia. She is now worried about it because it is affecting her quality of life and negatively impacting her relationship with her husband. Over this past year, she has had a mammogram and general blood tests which were all normal. Prior medical history: Uterine fibroids. Prior surgical history: TAH 5 years ago Current medications: None. Allergies: Sulfa. OB- GYN History: NSVD x 2 (2014 and 2012). Menarche age 12,

Reference no: EM133695751

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