Clinical Notes from Medusa’s Primary Care Provider Who Suspects Menopause

Differential diagnoses include perimenopause, estrogen deficiency-induced menopause, silent menopause, occult menopause, artificial menopause, and, less likely, mythic transformation. Condition:Localized sibilanceFirst-line treatment plan: Review sleep hygiene techniques. Second-line treatment plan: Hormone replacement therapy for diffuse symptomatology. Condition:Episodic petrification of bystandersFirst-line treatment plan: Cognitive behavioral therapy for positive reframing of interpersonal communication. Second-line treatment plan: Referral to endocrinologist.