Hospital practice (1995)
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Menopause often is accompanied by abnormal uterine bleeding-mostly due to anovulation and correctable with hormone therapy. However, all patients should be fully evaluated for gynecologic and nongynecologic causes of bleeding.
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Antithyroid drugs induce sustained remission in only 55% of cases. Radioiodine, the overwhelming choice of specialists, may pose risks, including aggravation of ophthalmopathy. Surgical ablation should be considered only if a highly skilled surgeon is available. Thyroid storm requires aggressive management, and definitive treatment is needed for toxic adenoma or toxic multinodular goiter.