menopause Flashcards

1
Q

menopause

A
  • physiologic cessation of menses associated with declining ovarian function
  • 42-58 years old
  • may occur earlier due to illness, surgery, radiation, chemo, or drugs
  • high BMI, smoking, ethnic factors, & stress linked to earlier menopause
  • gradual changes in menstrual flow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

s/s of menopause

A
  • increased, decreased, or irregular menses
  • irregular bleeding
  • bloating
  • cramping
  • water retention
  • fatigue
  • decreased mental clarity
  • diminished concentration
  • HA
  • vagnial dryness
  • hot flashes
  • night sweats
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

physiological response of menopause is related to

A
  • decreased # of maturing ovarian follicles
  • decreased estrogen & progesterone
  • ovaries become unresponsive to pituitary hormones
  • ovaries atrophy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

phases of menopause

A
  • peri menopause
  • menopause
  • post menopause
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

peri menopause

A
  • normal life transitions that being with the first signs of change in menstrual cycle
  • lasts about 15-20 years
  • erratic hormonal fluctuation
  • irregular vaginal bleeding
  • body makes transition between fertility & infertility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

post menopause

A

time of a woman’s life after menopause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

most critical changes in peri menopausal period

A
  • increased risk of CAD

- osteoporosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

vasomotor s/s of menopause

A
  • hot flashes & irregular menses
  • night sweats
  • increased heat production
  • genitourinary atrophy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

vaginal s/s of menopause

A
  • decreased in secretion & estrogen
  • dyspareunia
  • decreased bladder capacity
  • decreased urethral tissue tone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

musculoskeletal s/s of menopause

A
  • increased muscle & joint pain
  • menopausal women may lose 2-3%/year
  • redistribution of fat
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

bone loss in menopause

A
  • osteoporosis: loss of bone densities in the skeletal systems
  • 1/3 will have vertebral fx by age 65
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

cardiovascular s/s of menopause

A

-increased heart disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

dermatological s/s of menopause

A
  • decreased collagen in skin

- breast tissue smaller & less elastic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

psychological s/s of menopause

A
  • may be related to stressors of midlife or sleep deprivation
  • women report: depression, irritability, cognitive problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

medically/surgically induced menopause

A
  • physiological changes associated with declining ovarian function
  • can be induced at any age
  • removal of ovaries
  • injury to blood vessels causing atrophy of the ovaries
  • ablation of ovaries with chemicals or pelvic irradiation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

postmenopausal bleeding

A
  • NOT a dx, but it is a manifestation
  • may be related to
  • atrophic vaginitis
  • cervical polyps
  • uterine fibroids
  • endometrial hyperplasia
  • cervical erosion
  • uterine or cervical CA
17
Q

teaching

A
  • risks & benefits of HRT
  • risks & benefits of alternative medicines
  • estrogen cream for vaginal dryness
  • WB exercises or intake of Ca
  • stop smoking, decrease etoh, & caffeine intake to prevent osteoporosis
  • exercise 3-4x a week
  • prevent UTI
  • pelvic relaxation exercises
  • maintain ideal body weight
  • yearly mammogram & gyne visit