1. Outline the counseling you would do during a woman's health maintenance visit for patients in the age group 37-44 and provide rationale for the counseling that you have identified, and support your recommendations with evidence from the literature. A well woman visit is a good opportunity to counsel patients about maintaining a healthy lifestyle and minimizing health risks. For this discussion, I chose women aged 37-44. The first step for the visit will be to obtain a comprehensive medical history, a detailed gynecologic history, family history (as this can be used as a risk assessment tool), and a social history which may help provide clues to the presence/risk of disease as well as help the provider connect with the patient [ CITATION And10 \l 1033 ]. Further, the patient history will include screening for tobacco use, alcohol misuse using the CAGE or AUDIT-C screening tools, intimate partner violence, and depression. I would also ask the patient if she has any specific concerns regarding her health. In this age group reproduction starts to decline and some of these patients may be perimenopausal. Despite declining fertility these patients require effective contraception if they wish to avoid pregnancy. Counseling will include contraception, reducing risk of STIs, and screening for chlamydia, gonorrhea, syphilis and HIV. These patients will also be screened for cervical cancer by Papanicolaou (Pap) test and they all will receive counseling on breast cancer screening with mammography depending on their age and risk factors [ CITATION Mar13 \l 1033 ]. All of these patients will be counseled on the risks of obesity, hypertension, diabetes, heart disease and dyslipidemia as well as recommended immunizations according to guidelines from the Centers for Disease Control and Prevention. The United States Preventive Services Task Force (USPSTF) guidelines recommend screening all patients over age 18 years for hypertension at each visit [ CITATION Uni218 \l 1033 ]. Finally, counseling on smoking cessation, behavioral interventions, nutrition, diet, exercise, preventing skin cancer and other cancers, and a healthy BMI will be provided based on the need of each patient. References Anderson, R., & Schiedermayer, D. (2010). The Social History Matters! Academic Medicine, 85(7), 1103. Riley, M., Dobson, M., Jones, E., & Kirst, N. (2013). Health Maintenance in Women. American Family Physician, 87(1), 30-7. United States Preventive Task Force. (2021). A and B Recommendations. USPSTF: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstfaand-brecommendations 2. Discuss the role, as well as the risks/benefits of estrogen therapy for male to female transgender transition and maintenance. Estrogen therapy is a form of hormone therapy that involves taking estrogen, either orally or through injections, patches, or gels. Estrogen therapy is used by some transgender women and nonbinary people who want to feminize their appearance and align their gender identity with their body. Estrogen therapy can have various effects, such as breast development, fat redistribution, reduced body hair, softer skin, and mood changes. However, estrogen therapy also carries some risks and challenges, such as blood clots, liver problems, cardiovascular issues, infertility, and increased risk of certain cancers. Therefore, estrogen therapy should be carefully monitored by a medical professional and tailored to the individual's needs and goals. Estrogen therapy is not a one-size-fitsall solution and may not be suitable or desirable for everyone.