Chapter 55 : Womens Reproductive Health Flashcards
What is a combined hormonal contraceptive?
Like what does it contain?
Really your birth control
Synthetic version of estrogen and progestin
What is the action of combined hormonal contraceptives?
Inhibits ovulation by preventing formation of dominant follicle
Suppress lutenizing hormone surge
How can you administer combined hormonal contraceptives?
Oral
Transdermal
Transvaginal
Emergency contraception
Patients who are on combined hormonal contraceptives can have something called withdrawal bleeding when they are trying to get off the medication
What is it trying to do?
When does it occur
Mimics normal 28- day menstrual cycle
Occurring during monthly 7 day hormone free period
Some patients can have an extended use combined hormonal contraceptives
They can have a ___day continuous dosing
Causing them withdrawal bleeding only ___ x a year
91 days
4x a year
When you’re on your birth control it helps decrease cramping, acne, bleeding
Continous use combined dont have what?
No period
What is progestin contraceptives?
Don’t contain estrogen
What is the biggest benefit from progestin contraceptives?
Circulation disorders
Progestin contraceptive has a higher Incidence of what?
Irregular bleeding and spotting !!
Depression, mood changes, fatigue, decreased sexual desire, weight gain
Progestin contraceptive must be taken what?
Same time a day.
What is the action of progestion only?
Alter cervical muscus, make it thick and viscous, which block sperm penetration
Endometrial lining thinner
Slow transport of egg through fallopian tube
Interferes with luteinzing hormone
Side effects of excess estrogen birth control?
Side effect of deficiency of estorgen?
Breast tenderness
Cholasma
Leg cramps
Fluid retention
Decreased tearing
Vaginal bleeding
Oligomenorrhea
Nervousness
Dysperarunia
Side effect of excess progestin?
Side effects of deficiency of progestin?
Increased appetite
Weight gain
Oily skin
Excess hair growth
Bleeding late in the cycle
Heavy menstrual cycle
Changes in Labs ( thyroid, sugar )
What are some basic contraindications of hormonal birth control?
DVT
Pregnancy
Vascular disease
History of liver disease
Smoking > 15 a day after 35
When a patient is on birth control you want to teach them this anagram which is?
what does each stand for?
ACHES
Abdominal pain
Chest pain
Headaches
Eye disorders
Severe leg pain
What is primary infertility
What is secondary infertility
Never had a baby
Had a baby but now trouble with another
Infertility’s
Assessment the infertile couple
- complete health history
- complete physical exams
- PAP testing
- HPV testing
- cultures for STI testing
- lab tests, other diagnostic tests
What is the drug to help with fertility?
Clomiphene citrate
Notes
Clomiphene citrate
Breast discomfort
Dizziness
Fatigue
Depression
Anxiety
Weakness
Increased appetite
Nausea
Abdominal bloating
Heavier menses
Flushing
Dermatitis
Headaches
Photophobia
Diploid
Decreased visual acuity
What is menopause?
Transitional process experienced by women as they move from reproductive years into non reproductive stages of life
What is perimenopausea
What is menopause
What is postmenopause
Period before menopause’s, hormones change, last 10 years
Cessation of menus of 12 months!! Can get pregnant
Once 12 months without a period
What is treatment of menopause symptoms?
Medicatoon(
Hormone therapy
- estrogen progestin for females with an intact uterus
For hormone therapy is used to help with menopause’s
What to give with a female uterus
Vs
What to give without a uterus
Estrogen and progestin
Estrogen
What is the boxed warning regarding menopause’s hormonal therapy?
Should be used only for the treatment of menopausal symptoms, at the lowest dose possible for the shortest duration, possible less than 5 years
What are contraindications of hormone replacement?
Undiagnosed vaginal bleeding
Liver disease
DVT
Personal history of breast change
Absolute contraindication of MI, VTE, dementia, stroke
What are 3 other medications for menopause?
Give me the function too
SSRI - mood swings
Gabapentin - vasomotor shmtpoms
Clonodine- reduce vasomotor symptoms
In women who are post menopause’s
They have a high increase risk for developing osteoporosis
Which we have to give them what?
1200mg calcium with 600 mg vitamin D daily in divided doses
We also can take ____!!! for osteoporosis
Notes
Hormonal therapy is used to help PREVENT.
Bisphosphonates
How do we take Bisphosphonates?
And why?
take with a full glass of water 30mins before a meal, stay up right for 30mins
Because it can cause esophageal erosion
