Disorders impacting the reproductive health of women Flashcards
what is the duration of a period?
4.5 to 8 days
frequency(how often it comes)
24 to 38 days
regularity
2 to 20 days over 12 months
volume(how heavy It is)
5-80ml of blood
what can the endometrium impact?
heavy menstrual bleeding
symptoms menstruation can cause?
1.anemia
2.social and emotional well being
3. reduction in productivity in society(workdays and income lost)
what 2 things are the symptoms effected by?
1.Palm
2.Coein
is palm structural or non structural?
structural
is coein structural or non structural?
non structural
what causes palm to be structural?
polyps, adenomyosis, leiomyoma, malignancy. These can be seen through things such as ultrasound scan or biopsy
what causes coein to be non structural?
what you can’t see for example cannot be seen through ultrasound scan or biopsy. causes of this are-coagulopathy, ovulatory, endometrial, iatrogenic
what can the uterine fibroids(leiomyomas) are benign tumours disrupt?
normal function of the uterus
Fibroids are benign neoplasms, what are they composed of?
disorder smooth muscle cells and abundant extracellular matrix.
what are the 2 ways excessive bleeding can be managed?
1.hormone based
2.non-hormonal
hormone based
reduce endometrial proliferation -reduces bleeding- progesterone based
non -hormonal
non-steroidal anti- inflammatries or tranexamic acid
, pain and fertility issues
what are the 3 types of fibroids?
1.intramural
2.subserosal
3.submucosal
intramural
develops in muscle wall of uterus
subserosal fibroids
develop outside wall of uterus into pelvis and become large
submucosal
develop in muscle layer beneath endometrium and grow into cavity of uterus
endometriosis:
growth of endometrium outside the uterus
Diagnostic laparoscopy
invasive produced -lets you see organs
what are the 2 disadvantages of diagnostic laparoscopy?
-lack of awareness
-there are no biomarkers
what are the 3 subtypes of lesions
1.superficial peritoneal
2.ovarian endometrioma
3.deep infiltrating
lesion
An area of abnormal or damaged tissue caused by injury, infection, or disease
adenomyosis
endometrium found deep in the myometrium.
what are 2 symptoms of adenomyosis
pain
heavy menstrual bleeding
what are the disadvantages of certain scans
longer to diagnose – can use MRI and ultrasound
3 treatments
-non hormonal
-hormonal
-hysterectomy
7 ways on how socieconomic status impacts woman’s menstrual health?
-taught menstrual wellbeing in school
-period poverty
-feel less empowered to speak to GP( health seeking behaviour)
-access to healthcare-pockets of expertise
-cost
-miscarriage
-preeclampsia-condition hypertension during and after pregnancy