Menstrual Cycle/Contraception/Puberty/Breast Flashcards
What is PMDD?
Premenstrual Dysphoric Disorder
When are PMS and PMDD most likely to take place in the cycle?
luteal phase (second half)
What contraceptive option decreases a woman’s risk for ovarian cancer?
OCPs
also decreases risk of developing endometrial cancer
Women with poorly controlled HTN should avoid what contraceptive method?
OCPs
What women should not use the transdermal contraceptive patch?
It has been shown to be less effective in women weighing >198 pounds
What is thelarche?
secondary (postnatal) breast development
What is the correct order of events in developing girls through puberty?
thelarche > adrenarche > growth spurt > menarche
At what age does breast development begin?
10 yo
What is the average age of menarche?
- 7 (caucasian girls)
12. 1 (black girls)
What is the hallmark feature of McCune Albright Syndrome?
premature menses before breast/pubic hair development
What develops from the mullerian duct?
uterus, tubes, cervix, upper 1/3 vagina
What other organ can be associated with Mullerian abnormalitites?
kidney
What are risk factors for PMS?
family history
vitamin B6, Ca, or Mg deficiency
PMS symptoms get (worse/better) throughout the lifetime.
worse
What supplements have shown to help with PMS symptoms?
pyridoxine (B6), vitamin E, Ca
When is the pain the greatest with endometriosis?
BEFORE menstrual cycle
What is treatment for primary dysmenorrhea?
NSAIDs - block prostaglandins
Breast mass described as a solitary, well-circumscribed, mobile mass is most likely to be…
breast cyst
Breast mass described as multiple, diffuse nodulocystic masses most likely to be…
fibrocystic changes
Breast mass described as solitary, well-circumscribed mobile mass that cycles with premenstrual tenderness is most likely to be…
Fibroadenoma
A firm irregular breast mass +/- ecchymosis, pathology report showing foamy macrophages is likely…
fat necrosis
