Ch 19- Alterations in Women's Health(3) Flashcards
Primary Amenorrhea
no menses by 16 and no secondary sex characteristics
or
no menses by 13 w/ secondary sex characteristics
secondary amenorrhea
no menses in 3 months after having it before
AUB
(abnormal uterine bleeding)
* chronic: abnormal for 6 months +
* acute: heavy-immediate medical intervention
* Intermittent: bleeding between periods
Primary dysmenorrhea
painful menstruation
secondary dysmenorrhea
painful menstruation associated with known anatomic factors or pelvic pathology
s/sx of chronic pelvic pain
7
- uterine or abd cramping
- sharp pain
- steady pain
- intermittent pain
- pressure/heaviness in pelvis
- pain during intercourse
- pain during a bowel movement
PCOS diagnosing
3
must have 2 of these..
* clinical or biochemical androgen excess
* oligo-ovulation or anovulation
* polycystic ovarian morphology US
PCOS S/Sx
8
- infertility
- menstrual disorders (AUB)
- hair growth on face, chest, stomach, back
- ovarian cysts
- obesity
- oily skin/acne
- pelvic pain
- alopecia
Endometriosis
what is it
chronic inflammatory disease in which the presence and growth pf endometrial tissue found outside uterine cavity
leiomyomas of the uterus
what is it
myomas or uterine fibroids-benign fibrous tumors of uterine wall
signs/sxs of leiomyomas
6
- pelvic pressure from mass
- dysmenorrhea
- AUB
- pelvic pain, backaches, leg pain
- urinary frequency and urgency (when mass is pressing on bladder)
- palpation of tumor during bimanual pelvic exam
ovarian cysts
most spontaneously disappear by reabsorption or rupture (no risks)
Pelvic Organ prolapse risk factors
5
- childbirth trauma w/ vaginal deliveries
- pelvic trauma
- stress/strain from heavy lifting
- obesity
- menopause
Uterine prolapse definition
uterus descends into vagina
cystocele definition
anterior prolapse- bulging of the bladder into vagina
rectocele definition
posterior prolapse-bulging rectum into vagina
managment of urinary incontinance
5
- behvioral techniques
- pelvic floor exercises
- medications
- medical devices
- surgery
vaginal fistulas
what are they
abnormal connections between the
* vagina and bladder
* vagina and urethra
* vagina and rectum
cervical conization
dx vs therapeutic
Dx: to detect cervical cancer
Ther: tx of cervical intraepithelial lesions
colposcopy
dx and reasons for getting one
Dx: rule out cervical cancer
-dysplasia, condylomas, abnormal pap
D&C
dx vs therapeutic
Dx: to detect uterine malignancy, evaluate fertility, evaluate uterine bleeding
Ther: treat heavy bleeding, dysmenorrhea, and incomplete abortion
3 most common sx of breast disorder
- pain
- discharge
- palpable breast mass
3 diagnostic imaging used to detect breast disorders
- mammogram
- US
- MRI
what is the primary cause of cervical cancer
HPV
