What is the most likely diagnosis

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Reference no: EM133880982

Assignment:

A 49-year-old woman is being seen in the office with complaints of irregular menses over the past 6 months, feelings of inadequacy, vaginal dryness, difficulty sleeping, and episodes of warmth and sweating at night. On examination, her blood pressure is 120/68 mm Hg, heart rate is 90 beats per minute, and temperature is 99 °F (37.2 °C). Her thyroid gland is normal to palpation. The cardiac and lung examinations are unremarkable. The breasts are symmetric, without masses or discharge. Pelvic examination is without any masses or other abnormalities.

Questions

What is the most likely diagnosis? What is your next diagnostic step? What is the best treatment for the patient's complaint?

Reference no: EM133880982

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