Bilateral Salpingo-oophorectomy in Obstetrics & Gynecology — 46yo Woman | General Gynecology | SMLE Q#474

SMLE Question #474

Obstetrics & Gynecology General Gynecology
Last updated: February 2026
A 46-year-old woman undergoes total abdominal hysterectomy with bilateral salpingo-oophorectomy for symptomatic uterine fibroids. She has no history of breast cancer, venous thromboembolism, or chronic liver disease and does not smoke. She is concerned about vasomotor symptoms and bone loss after surgery and asks about hormone therapy. Which hormonal treatment is most appropriate for her?

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