Question

After discontinuing hormone replacement therapy HRT, a 76-yo pt reports she is experiencing increased vaginal discomfort during intercourse. What action should the nurse take?

a. Recommend over-the-counter vaginal lubricants.
b. Suggest increasing the dosage of HRT.
c. Advise against any intervention for the discomfort.
d. Refer the patient to a gynecologist for further evaluation.

Answer 1

A 76-year-old patient who is experiencing increased vaginal discomfort after discontinuing hormone replacement therapy (HRT) should be referred to a gynecologist for further evaluation. Over-the-counter vaginal lubricants may be recommended as a temporary measure to alleviate the discomfort.

Step-by-step explanation:

After discontinuing hormone replacement therapy (HRT), a 76-year-old patient who is experiencing increased vaginal discomfort during intercourse should not be advised against any intervention for the discomfort. Rather, it is important to refer the patient to a gynecologist for further evaluation. This is because vaginal discomfort can be caused by various factors, including hormonal changes, vaginal dryness, or underlying medical conditions, and a gynecologist will be able to perform a thorough examination and provide appropriate treatment options. Over-the-counter vaginal lubricants may be recommended by the gynecologist as a temporary measure to alleviate the discomfort.