A 46 year old, 230 lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of hypertension. 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 daily and HCTZ 25mg daily and her blood pressure is 150/90. She has regular monthly menstrual cycles. Her last menstrual period was 1 month ago.
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