Female Reproductive Disorders Flashcards
Breast Disorders/Breast Cancer
Fibrocystic Breast changes/bengin BBD, most common
lumpiness, nipple discharge, cyst is mobile
Bengin Breast Disease BBD/dx
Mammography, sonography, MRI, palpation, fine needle aspiration
Mammography frequency
yearly for women 40 years or older
Mammography frequency for High Risk Client
closest relative dx at 40 or younger…10 years before dx
Screening for Cervical Cancer
Pap smear
under 21 no screening
21-29 every 3 years cytology
30-65 every 5 years with HPV or every 3 years cytology
>65 and not high risk, no smear
Hysterectomy no Hx of precancerous or cervical cancer
Uterine (endometriosis): Fibroids/leiomyomas
non cancerous, does not require TX unless pain
Gonadotropin-releasing hormone can be used to reduce size and bleeding. Removal may be necessary if women wants to have children
Uterine (endometriosis): Endometriosis
cells from the lining of the womb grow else where
Salpingitis
tubal infection
Total Abdominal Hysterectomy TAH
Removal of uterus via abd
Bilateral salpingo-oophorectomy BSO
Removal of both fallopian tubes and ovaries
TAH-BSO
Both procedures done at the same time
Total Vaginal Hysterectomy TVH
Uterus is removed via the vagina
Cystocele
S/S
downward displacement of the bladder
stress incontinence SUI e.g. during coughing
Rectocele
Develops when posterior vaginal wall weakens and rectum balloons into the vaginal wall, making defecation difficult and stool can get trapped in the sac
Uterine Prolapse
Tx?
Uterus protrudes downward and into the upper vagina, pulling vagina down with it.
TX: usually hysterectomy
Amenorrhea
Primary
Secondary
absence of menses can be
primary: menses has not started by 16 or 4 yrs after breast development
secondary: pregnancy, hormone changes, stress diet oral contraceptives
Dysmenorrhea
Primary
Secondary
Painful menstruation
Primary: cramps without underlying disease
Secondary: condition/disease is the cause of the pain
Premenstrual Syndrome PMS
Occurs during which phase?
Luteal phases,
Premenstrual Dysphoric Disorder PMDD
Must have PMS, symptoms are primarily mood related and severe
PMS, PMDD: Nursing management
Diet, sugar, increase frequency of meals , exercise, vitamin supplements B6, E, Ca, diary, support group
Polycystic Ovary Syndrome PCOS
S/S?
Endocrine disorder, maybe due to excessive androgens
s/s: long or infrequent periods, excessive hair, weight gain
Menarche
Age when menstruation started
Menopause
Absence of menses for full year
long range issue osteoporosis
Anovulatory Menstrual Cycle
Egg is not released for fertilization every month
