Female GU Flashcards
what is dysmenhorrea
pain with period
is primary of secondary dysmenorrhea part of a normal cycel
primary
prostaglandins E2 and F2 alpha in endometrium correlate with pain in _______dysmenorrhea
primary
what type of pain neurons are beeing stimulated in primary amenorrhea
Type C
what is needed for diagnoses for endometriosis
biopsy during surgery
what dictates endometriosis as opposed to cancer
it is round, and well circumscribed
how do you treat endometriosis
NSAIDS and hormonal therapy, if pain persists attempt a treatment of GNRH (Lupron) but it does give hot flashes, then surgery
an acute infection of the upper genital tract structures in women
Pelvic Inflammatory Disease
what are the commonly identified pathogens in PID
neisseria gonnorhoeae and chlamydia trachomatis (mycoplasma genitalium in pre menopausal)
what tests should be done if you suspect PID
pregnancy test, wet prep, STD tests
what is main treatment for PID
antibiotics
what is needed for a diagnosis of PMS
physical or behavioral symptoms that ovvur in second half of menstrual cycle for 2-3 cycles
what neurotransmitter is thought to play the largest role in PMS
serotonin (30% of women do not respon to SSRIs)
probable causes of acute pelvic pain in menstruating girls and somen
ectopic pregnancy, ovarian torsion, appendicitis, PID, ovarian cyst
Cervical cancer is related to
HPV type 16 and 18, E6 and E7