The patient is 48 years with a complaint of violation of the menstrual cycle – menstruation lasts for 7 – 9 days,

The patient is 48 years with a complaint of violation of the menstrual cycle – menstruation lasts for 7 – 9 days, the excess over the last six months. Notes heat waves, insomnia, irritability, headache. Skin normal colors. Blood pressure 130 / 190 mm., pulse 80 – 90 beats / min, regular. The abdomen was soft and painless. Bimanually: uterus is not enlarged, appendages are not palpable. Fornices are free. What is the most likely diagnosis? Assign treatment. * 1 point Postcastration syndrome, hormone replacement therapy Sheehan’s syndrome, treatment is not necessary Climacteric syndrome, treatment of sedatives, hormone replacement therapy estrogen Climacteric syndrome, treatment is not necessary Esentsial hypertension, antihypertensiv drugs

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