Female Reproductive Problems Flashcards
What is pelvic inflammatory disease(PID)?
- Inflammatory condition of the pelvic cavity (May involve uterus, fallopian tubes (salpingitis), ovaries (oophoritis), pelvic peritoneum)
- Often result of untreated cervicitis
- Most commonly caused by sexual transmission
-caused by bacteria, may be from virus, fungus, parasite
What is the S&S of PID?
- Lower abdominal pain
- Vaginal discharge
- Fever, chills
- Dyspareunia - painful intercourse
- Tenderness after menses
What is the complications of PID?
Septic shock, Fitz-Hugh-Curtis syndrome, ectopic pregnancy, infertility, chronic pelvic pain
What is the collaborative care for PID?
Broad-spectrum antibiotics (ie. Cefoxitin)
What is endometriosis?
Presence of normal endometrial tissue in sites outside of the endometrial cavity
-Typical client with endometriosis – late 20’s-early thirties, white, never had full-term pregnancy
What is the S&S of endometriosis?
dysmenorrhea, infertility, dyspareunia, pelvic pain
Chocolate cysts – nodules in ovaries
What is the collaborative care of endometriosis?
- Laparoscopy for definitive diagnosis
- Treatment based on age, desire for pregnancy, severity of symptoms and extent of disease
- Watchful waiting, drug and surgical therapy
–> NSAIDS, oral contraceptives (Depo-Provera)
–> Pregnancy may help as ovulation and menstruation do not occur
–> Surgery – hysterectomy, oophorectomy, bilateral salpingo-oophorectomy
What is benign ovarian tumours?
- Acute or chronic pain
- Ruptured cysts mimic appendicitis or ectopic pregnancy
What is polycystic ovary syndrome?
- Chronic anovulation and androgen excess
- Infertility, obesity, hirsutism (excessive hairiness)
- If untreated may develop cardiovascular, abnormal insulin metabolism, ovarian or endometrial cancers
What is a uterine prolapse and the symptoms?
- Downward displacement of the uterus into the vaginal canal as a result of impaired pelvic support
- May be due to weakened structures that support the uterus from childbirth
symptoms: Pressure, bladder incontinence or retention - problems w/ pelvic support
What is a cystocele in the pelvis?
- Anterior wall prolapse; occurs when support between the vagina and the bladder is weakened
Bladder bulges into the vagina - problems w/ pelvic support
What is a rectocele in the pelvis?
- problems w/ pelvic support
- Posterior wall prolapse; results from weakening between the vagina and rectum
**Rectum will pressing into the vagina **
What is the S&S of cystocele in the pelvis?
- Patient may report: pelvic pressure, fatigue, urinary problems – urinary incontinence, frequency, and urgency.
- Back pain and pelvic pain may occur as well.
What is the S&S of rectocele in the pelvis?
- Rectal pressure
- Constipation, uncontrollable gas, fecal incontinence (pt with complete tears)
What is stress incontinence?
The involuntary loss of urine during activities that increase abdominal and pressure.