Exam 3; Women's health Flashcards
Primary Amenorrhea
Absence of menses by age 15
Secondary Amenorrhea
- Absence of menses for >3mo in those who have had regular menstrual cycles
- Absence of menses for >6 mo in those who have had irregular menstrual cycles
Initial testing in a pt with amenorrhea includes
- **hCG (rule out pregnancy)
- FSH, LH, TSH, PRL, and Estrogen
Rotterdam criteria is used to diagnose what condition?
PCOS
PCOS can be treated with
10-14 days a month- oral contraceptives: Medroxyprogestrone acetate, 5-10 mg
first tier medical tx of dysmenorrhea is
NSAIDS
Normal breast development is due to the presence of
Estrogen
Pubic and axillary hair is due to the presence of
Androgens
Amenorrhea and the loss of the sense of smell is a syndrome known as
Kallman’s Syndrome
A genetic male that appears female but lacks either female or male anatomy is known as
Androgen insensitivity syndrome (testicular feminization)
Primary causes of dysmenorrhea is due to high levels of
Porstaglandins
Tx of dysmenorrhea
GOAL: provide sx relief
- Topical heat
- NSAIDS!
- Exercise
Definition of premenstrual syndrome- PMS
PMS is defined as at least one sx associated with “economic or social dysfunction” that occurs during the 5 days before the onset of menses and is present at least 3 consecutive menstrual cycles
PMS symptoms include:
Edema
Weight gain
Restlessness / irritably / increased tension
Headache
ect
Premenstrual dysphoric disorder (PMDD) is
a severe form of PMS in which Sx of anger, irritability, and internal tension are prominent
