A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date…

A 46-year-old, 230lb woman with a family history of breast
cancer. She is up to date on yearly mammograms. She has a history
of HTN. She complains of hot flushing, night sweats, and
genitourinary symptoms. She had felt well until 1 month ago and she
presented to her gynecologist for her annual gyn examination and to
discuss her symptoms. She has a history of ASCUS about 5 years ago
on her pap, other than that, Pap smears have been normal. Home
medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is
150/90. She has regular monthly menstrual cycles. Her LMP was 1
month ago. What is a diagnosis?