Clinical Diagnosis and Treatment for Complex Female HRT Patients

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Claiming CME/CE Credits

To receive CME/CE credits, participants must review the program materials in their entirety and complete the online post examination and evaluation with a score of 70% or better.

System Hardware/Software and Internet Connection Requirements

The following information is provided for your reference in conjunction with review of this program.

General System and Internet Requirements:  Speakers or Headphones, High Speed Internet connection, Wireless 3G and 4G,
Web browsers: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher and Chrome.

Operating Systems:  Windows 2000 or higher, (MS Surface and other MS mobile devices compatible), MAC OSX 10.3 or higher, Mac iOS 5.0 or higher (iPad, iPhone compatible), Android 4.3 or higher (most Android mobile devices compatible).

Effective Date: April 11, 2018
Expiration Date: April 11, 2020
Format: Self Instructional - Audio Visual Voice-Over with Slides
Maximum Credits: 1.0 AMA PRA Category 1 CME Credit™, 1.0 Nursing Contact Hour
Estimated Completion Time:1 hour

Women in their thirties well into their fifties commonly present to the office complaining of fatigue, weight gain, insomnia, irritability, acne, hair loss and decreased libido. Whether the patient is complaining of one or all of the above it is apparent that her quality of life is being affected. Many of these symptoms are frequently related to an imbalance or declining of their hormones.

Upon closer examination and analysis of patients’ prior lab work compared with current blood results it became apparent that often times only symptoms are being treated and not the underlying cause. For example, a 38 year old female with acne is commonly prescribed spironolactone yet the underlying origin or disease process, Polycystic Ovary Syndrome, is not identified or addressed. Additionally, perimenopausal women are often misdiagnosed and then prescribed inappropriate hormone regimens that result in an increase or new symptoms.

The intention of this webinar is to highlight and review a variety of cases with atypical patient presentations focusing on perimenopause and Polycystic Ovary Syndrome. The webinar identifies patients’ chief complaints and discusses their lab results. With this information an appropriate treatment plan is then developed. Practical clinical pearls are identified throughout the presentation.

Target Audience

This program is intended for Primary Care Physicians, Physician Assistants, Nurse Practitioners and Nurses and Other Healthcare Professionals.

Outcome Objectives

Upon completion of this CME/CE activity the healthcare provider will be able to:

  1. Identify the blood tests that are used to diagnose menopause.
  2. Distinguish lab results for a patient that is perimenopausal verses menopausal.
  3. Describe a treatment plan for a perimenopausal patient who has had a partial hysterectomy.
  4. Given a set of lab results, determine which lab values support the diagnosis of PCOS.
  5. Develop a treatment plan for an atypical patient with PCOS.

Authorized and Presented by

Ilona Y. Bleaman, PA-C, MHPE

Ilona Y. Bleaman, PA-C, MHPE

Ilona Bleaman has 21-years experience practicing primary care in Arizona and four years experience in optimizing women’s hormones. In the past, she served as adjunct faculty and Clinical Professor at Midwestern University. She has previous experience serving on National Advisory Boards on diabetes and patient educational tools.

Conflict of Interest Disclosure Policy

It is the policy of the Foundation for Care Management (FCM) to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. FCM requires everyone in a position to control the content of this activity to disclose any relevant financial conflicts of interest they may have as related to the content of this activity and having occurred within the last 12 months. The faculty must disclose to the participants any significant relationships with commercial interests whose products or devices may be mentioned. All identified conflicts of interest are thoroughly vetted by FCM for fair balance, scientific objectivity of studies mentioned in the material or used as the basis for content, and appropriateness of patient care.

"A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by or used on patients.”



Ilona Y. Bleaman, PA-C, MHPE has no financial interest in any of the products or manufacturers mentioned.

Planning Committee:

Ilona Y. Bleaman, PA-C, MHPE, Content Expert, Jeanette M. Dunn EdD, Lead Nurse Planner have no financial interest in any of the products or manufacturers mentioned.


AMA PRA Category 1 Credit(s)™

Accreditation Statement: The Foundation for Care Management (FCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for Physicians.

Designation Statement: FCM designates this educational activity for a maximum of 1.0 AMA PRA Category 1 credits™. Physicians should only claim credit commensurate with the extent of the participation in the activity.

CE for Nurses

Accreditation Statement: The Foundation for Care Management is an approved provider of continuing nursing education by the Continuing Nursing Education Group (CNEG), Approver of Continuing Nursing Education an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 1 Nursing contact hour(s).

Method of Participation/Criteria for Success

To receive CME/CE credits, participants must review the program materials in their entirety and complete the online post examination and evaluation with a score of 70% or better. A statement of credit will be available for printing upon successful completion.

If you have questions about this CME/CE activity, please contact FCM at


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

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