Problem: A 46-year-old patient has just received the recommendation that she undergo a total hysterectomy and bilateral salpingooophorectomy for uterine fibroids.
Lab results include bone mineral density 1.5 standard deviations below normal, LDL 150 mg/dL, HDL 55 mg/dL, and no evidence of lesions on mammogram. The patient is interested in postoperative hormone replacement. What additional information must be obtained before the prescriber considers ordering hormone replacement?