Female Genitourinary

Question 1

What are the perimenopausal years?

Answer 1

40-55

Question 2

Side effects of HRT

Answer 2

fluid retention, breast pain, vaginal bleeding, cardiovascular and breast cancer, Vasomotor symptoms

Question 3

Perimenopausal period features

Answer 3

hormonal shifts resulting in vasomotor insability

Question 4

Pap test recommendation

Answer 4

Every 3 years in women over 21, HPV and Pap co-testing every 5 years for women aged 30-65

Question 5

Acute pelvic pain may indicate:

Answer 5

1. PID
2. Appendicitis
3. Ruptured ovarian cyst
4. Ovarian torsion- transvaginal ultrasound

Question 6

Oral contraceptives increase glycogen content of vaginal epithelium, causing

Answer 6

fertile medium for microorganism growth

Question 7

What causes a more alkaline pH?

Answer 7

menses, postpartum, and menopause

Question 8

Oral contraceptive use with smoking

Answer 8

increases risk of vascular problems

Question 9

Additional questions for the aging woman

Answer 9

1. Noticed any vaginal bleeding after menopause?
2. And vaginal itching, discharge, or pain with intercourse? associated with atrophic vaginitic
3. Any pressure in genital area, loss of urine with cough or sneeze, back pain, or constipation? (occurs with weakened pelvic musculature and uterine prolapse)
4. Sex? Satisfactory? Adequate privacy?

Question 10

Consider delayed puberty if no pubic hair or breast development at age

Answer 10

13