Menstruation Disorders Flashcards
What are the 3 phases of the Menstrual Cycle?
- Follicular (days 1-14)
- Ovulatory (days 14-17)
- Luteal (days 15-28
LH and FSH promote ovarian synthesis of what two things?
- Follicles
2. Ovum (egg)
What do the follicles secrete? At what phase?
Estrogen; follicular
What is Primary Dysmenorrhea?
Lower ab pain
When does Primary Dysmenorrhea occur?
During Ovulatory phase
What is the pathophysiology of Primary Dysmenorrhea?
- Release of prostaglandins + leukotriens
- Increased vasopressin
- Stimulation of vasoconstriction + uterine contraction
What are some RX that are excluded from Primary Dysmenorrhea?
- Warfarin
- Heparin
- Lithium
Which OTC therapies risk harm to the fetus in pregnancy for Primary Dysmenorrhea?
Ibuprofen + Naproxen
Which OTC therapies is excreted into breast milk?
Naproxen + Aspirin
What is the preferred first-line therapy for Primary Dysmenorrhea?
NSAIDS
What are some pharmacological Tx for Premenstrual Syndrome?
If mild, NSAIDS + Pyridoxine (Vit. B6) + Calcium w/ Vit. D (which can prevent PMS symptoms) + Magnesium
Which Tx for Premenstrual Syndrome causes constipation?
Calcium w/ Vit. D
Which Tx for Premenstrual Syndrome causes diarrhea?
Magnesium
What are the OTC diuretics for PMS?
- Ammonium chloride
- Caffeine in combination
- Pamabrom in combination
Should you recommend Pamprin or Midol for PMS?
No, NSAIDs are better
What was the strongest predictor of risk for Toxic Shock Syndrome?
Use of tampons
What should you use for nearly eliminate risk for Toxic Shock Syndrome?
Sanitary pads
Which bacteria caused Toxic Shock Syndrome?
S. aureus
If you dont use sanitary pads for Toxic Shock Syndrome, what else can you use?
Low absorbency tampons
