Chapter 6 - Reproductive System Concerns Flashcards
Normal Menstrual Patterns
Menses every 28 days
Range from 26-34 days
When menses first starts takes15 months for first 10 cycles then 20 cycles to become regular
Amenorrhea
Absence of menstrual flow
By age 14 years if no secondary sexual characteristics should be evaluated
By age 16 years no menses even with secondary characteristics
(most girls have had injury to open hymen, if not then have to go to surgery)
Exercise associated amenorrhea-
low body weight/fat greatest risk-low bone density
Hypogonadotropic amenorrhea
Problem in central hypothalamic-pituitary axis Results from hypothalamic suppression Assessment Counseling and education Stress can affect
Dysmenorrhea
Pain during or shortly before menstruation
Primary dysmenorrhea
Abnormally increased uterine activity
Physiologic alteration
Alleviating discomfort
(too much bleeding)
Secondary dysmenorrhea
Acquired menstrual pain
Diagnosis and treatment
(bad cramps)
Dysmenorrhea Tx
NSAID start 2-3 days before BCP Heat Exercise Decreased salt and refined sugar intake Increased water Decrease red meat
Meds for Dysmenorrhea
BCP prevent ovulation
Decrease amount of mentrual flow
Premenstrual syndrome (PMS)
Cyclic symptoms occurring in luteal phase of menstrual cycle
PMS: cluster of physical, psychologic, and behavioral symptoms-30-80% of women experience
Premenstrual dysphoric disorder (PDD)
Severe variant of PMS
Feel overwhelmed
(affects daily life)
PMS
Fluid retention Behavior or emotional changes Irritability Panic attacks Impaired ability to concentrate Cravings: sweets, salt, increased appetitie, binges Headaches, fatigue,backache
Endometriosis def
Presence and growth of endometrial tissue outside of the uterus
6-10% of women
Endometriosis Major Symptoms
Dysmenorrhea
Deep pelvic dyspareunia (painful intercourse)
Endometriosis Management
Drug therapy
Surgical intervention