chapter 5 Flashcards

1
Q

a woman’s final menstrual period

A

menopause

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2
Q

period of decreased estrogen production and menstruation stops; 40-58 years, average 51 years

A

climacteric

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3
Q

menopause

A
  • sexual glands decrease in size
  • secondary sex characteristics change
  • typically have irregular cycles, rather than a sudden stop
  • hormonal changes
  • sexual complaints
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4
Q

hot flashes, headaches, sleep disturbances

A

hormonal changes

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5
Q

______are recommended for women to be familiar with their genitals and any possible abnormalities

A

genital self exams

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6
Q

most prevalent gynecological health concerns

A
  • endometriosis
  • menstrual toxic shock syndrome
  • polycystic ovarian syndrome
  • uterine fibroids
  • vulvodynia
  • infections
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7
Q
  • endometrial cells deposit outside of the uterus
  • will engorge/ weaken with the menstrual cycle
  • painful periods, lower abdominal or pelvic pain, pain on defecation, pain during intercourse
  • typically childless women between 25 and 40
  • cause unknown
  • hormones, surgery, laser therapy
A

endometriosis

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8
Q
  • associated with use of high-absorbency tampons, which creates a buildup of bacteria
  • fever, diarrhea, vomiting, sore throat, muscle ache, rash
  • dizziness, respiratory distress, kidney failure, heart failure, death
  • avoid by changing tampons using sanitary pads
A

menstrual toxi shock syndrome

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9
Q
  • endocrine disorder affects 7% of premenopausal women
  • causes cyst formation on ovaries, causing hormones to increase
  • many effects including lack of ovulation, excessive body and facial hair, obesity, acne, infertility
A

polycystic ovarian syndrome

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10
Q
  • hard tissue masses in the uterus; size rage
  • affects 3 out of 4 women; many are unaware of them
  • symptoms:pelvic pain and pressure, heavy cramping, heavy or prolonged bleeding, constipation, frequent urination, painful sex
  • treatment- hormones, drugs, laser therapy, surgery, crynotherapy
A

uterine fibroids

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11
Q
  • chronic pain and soreness of the vulva
  • symptoms: vaginal burning, itching, rawness, stinging, stabbing of vagina/vulva
  • this pain may be intermittent or constant
  • cause unknown
  • treatment- biofeedback drugs, dietary changes, nerve blocks, surgery, pelvic floor muscle stregthening
A

vulvodynia

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12
Q

non sexually transmitted infections can occur

A

bartholin’s glands

urinary tract

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13
Q

infections may be due to

A

poor hygiene practices and or frequent intercourse

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14
Q

cancers of the female reproductive organs

A
  • breast cancer
  • uterine cancer
  • cervical cancer
  • endometrial cancer
  • ovarian cancer
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15
Q

one of the most common cancers among american women; early detections critical

A

breast cancer

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16
Q

high cure rates

hpv is main cause

rates decreased over past several decades

pap smear is used for detection

A

cervical cancer

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17
Q

symptoms include: abnormal bleeding, spotting

detection most successful with dilation and curettage

over 90% survival rate

A

endometrial cancer

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18
Q

less common than breast, uterine cancers

most deadly

childlessness, early menopause, high fat diet, higher SES, lactose intolerant, use talc powder on vulva

A

ovarian cancer

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19
Q

entire female region of external sex organ

A

vulva

20
Q

protective fatty cushion over the pubic bone; covered with pubic hair

A

mons veneris

21
Q

outer lips; tissue folds from mons to perineum surrounding the rest of the female genitals;

engorges with blood if excited

covered in pubic hair and pigmented

A

labia majora

22
Q

inner lips; pink tissue folded between vestibules and labia majora; no hair; many oil glands;

darkens if sexually aroused

A

labia minora

23
Q

small cylindrical erectile tissue beneath the prepuces

rich in blood supply and nerve endings

solely to provide sexual pleasure

A

clitoris

24
Q

tissue covering introitus at birth, typically with an opening; great variation in size and form;

may tear and bleed during sexual or non sexual activities

A

hymen

25
Q

ducts empty into vestibule; dont produce enough lubrication for sex
can become infected

A

bartholins glands

26
Q

external opening of the rectum

A

anus

27
Q

tissue between anus and vagina

A

perineum

28
Q

about a 4 inch, thin walled accordian like tube from the introitus to the cervix, tilted back; organ of intercourse and canal for menses and babies

lubricant secreted from wall opening when engorged

first 1/3 contains many nerve endings

inner 2/3 has little nerves

A

vagina

29
Q

dime to a quarter sized spot in the lower third of anterior vaginal wall ( 2-3 inches up)

sensitive area

controversial issue

no scientific proof of existence

A

Grafenberg spot

G-spot

30
Q

1 inch think walls, hollow, muscular organ between the bladder and rectum

monthly cycle of change

menstruation

protects fetus

contractions to expel menses and fetus

3 inches long
2 inches wide

A

uterus

31
Q

3 uterine wall layers

A

perimetrium
myometrium
endometrium

32
Q

at bottom of the uterus

doughnut shaped

secretes mucus to help or impede sperm depending on monthly cycle

A

cervix

33
Q

_____is the opening leading into the uterus

A

Os

34
Q

two 4 inch long trumpet shaped tubes that extend from the sides of the uterus and curve up to ad around the ovaries

this is where fertilization takes place

A

fallopian tubes

35
Q

form of an almond shell

contain 250,000 ova each produce estrogen

A

ovaries

36
Q

how many ova do each ovary contain

A

250,000 each

37
Q

modified sweat glands that produce milk

fatty tissue

15 to 20 lobes of milk producing glands

A

breasts

mammary glands

38
Q

slight pain in some women with ovulation

A

mittelschmerz

39
Q

begins after menstruation ends

lasts 6-13 days

ovarian follicles begin to ripen

estrogen promotes development of endometrium to 2-5 millimeters thick

A

follicular phase

40
Q

around day 14 and ovum is released due to FSH and LH that have ripened primary follicles

one follicle matures completely

secondary follicle ruptures
releasing egg to be caught by the fimbriae

A

ovulatory phase

41
Q

corpus luteum forms on the ovary where the secondary follicle reptured

secretes progesterone and estrogen for 10-12 days to further develop the endometrium to 4-6 millimeters thick

without fertilization the progesterone and estrogen levels signal to the hypothalmus ot decrease LH and the corpus luteum deteriorates and estrogen and progestrone drop significantly

A

luteal phase

42
Q

endometrial buildup is expelled through uterine contractions for 3-7 days

volume of menses is about 2-4 tablespoons of fluid

A

menstrual phase

43
Q

absence of menstruation

A

amenorrhea

44
Q

physical or emotional symptoms that occur during the last few weeks of the menstrual cycle

A

PMS Premenstrual cycle

45
Q

mood behavioral and cognitive symptoms

causes unclear

medication and lifestyle changes

A

premenstrual dysphoric disorder