Female Genitourinary Flashcards
at birth
Size of external genitalia engorged, size recedes in a few weeks
Sanguinous or mucus discharge from vagina normal during first few weeks because of maternal estrogen effect.
childhood
ovaries are in the abdomen rather than the pelvis; move into the pelvis at the time of menarche.
pregnant women
Cervical and vaginal secretions increase during pregnancy.
20-24 weeks—uterus almost to the liver, displacing intestines superiorly and laterally.
During pregnancy—risk of yeast infection
aging woman
Menopause at 48-51 years—cessation of menses
Ovaries stop producing progesterone and estrogen.
Decreased size of the uterus; ovaries atrophy; uterus droops;
Vagina less elastic; atrophies; decreased secretions
Decreased sexual response; decreased vaginal secretions; decreased duration of orgasm and rapid resolution.
menstrual history
normal menses Q 28 days; 3-7 days duration
Chadwick sign
bluish discoloration of the cervix that normally occurs 6-8 weeks gestation
caruncle
small, deep red mass protruding from urethral meatus, usually due to urethritis
cystocele
prolapse of urinary bladder and its vaginal mucosa into the vagina with straining or standing
Hegar sign
softening of cervix that is a sign of pregnancy, occuring at 10-12 weeks gestation
multipara
having two or more pregnancies
salpingitis
inflammation of Fallopian tubes
Skene glands
paraurethral glands
Bartholian glands
vaginal lubrication during intercourse
menarche
mean age at onset 12-13 years
delayed onset suggest endocrine and underweight problem
side effects of HRT
fluid retention breast pain vaginal bleeding cardiovascular risk breast cancer risk
ibuprofen effect on dysmenorrhea
because it works on uterine smooth muscle
Pap test
begin at 21 years, no matter the age of sexual debut or history
interval of 3 years for women ages 21-30 years
HPV and Pap “co-testing” every 5 years for women ages 30-65 years
acute pain causes
PID, appendicitis, ruptured ovarian cysts, ovarian torsion
infertility is considered
after 1 year of unprotected sexual intercourse without conceiving
screen for STIs in adolescents
1) with h/o multiple sexual partners
2) with previous STI treatment
3) chlamydia and gonorrhea screening annually for sexually active adolescents
4) syphilis screening for teens who trade sex for drugs or money, use IV drugs, or live in high-prevalence neighborhood
changes between 7-10 years
Mons pubis thickens
Labia majora thicken
Labia minora become slightly rounded
Pubic hair begins around 11
screen for STI in adolescents
1) With history of multiple sexual partners.
2) With previous STI treatment.
3) Chlamydia and gonorrhea screening annually for sexually active adults.
4) Syphilis screening for teens who trade sex for drugs or money, use IV drugs, or live in a high prevalence neighborhood.
