Nancy Bauer is a 53-year-old schoolteacher. She has been married
for 36 years and has two children. Mrs. Bauer says she is 65 inches
tall. She has smoked one pack of cigarettes a day for 30 years and
drinks one to two glasses of wine with dinner each evening. She
does not routinely exercise. Mrs. Bauer has had symptoms of
menopause for 8 years,including hot flashes in the early years and
mood swings of late. She has never been on hormone replacement
therapy.
Mrs. Bauer is currently seeking medical advice for continuous
low back pain. The pain is not relieved with an over-the-counter
analgesic, and she frequently wakes up during the night because
of the pain