Module 1 (Gynecologic) Flashcards
Amenorrhea
Absence of the menstrual cycle during reproductive years
Amenorrhea primary
Absence of the menses (14)
With no development of secondary characteristics
Absence of the menses (16)
With the development of secondary characteristics
Amenorrhea secondary
Absence of the menses in women who have previously menstruated
Can be caused with pregnancy, birth control, pituitary, gland, problems
Dysmenorrhea
Painful menses
Dysmenorrhea primary
Increased prostaglandin production
Dysmenorrhea secondary
What is the most common cause?
Pelvic/urine pathology
Endometriosis is the most common cause
Premenstrual syndrome
What is the most severe variant?
Wide range of recurrent symptoms
Most severe variant is premenstrual dysphoric disorder
Endometriosis. Risk factors.
Shorter than 28 day menstrual cycles
Over a week and flow
Young menses
Few to no pregnancies
What painkiller do we not give for gynecological?
Entox
Behavioural methods
Abstinence
Fertility awareness
Cervical mucus, ovulation, tracking
Basal body
Two day method
Withdrawal ( coitus interruptus ).
Lactational amenorrhea
Barrier methods
Condoms
Diaphragm
Cervical cap
Contraceptive sponge
Hormonal methods
Oral contraceptives (estrogen)
Injectable contraceptives (depo) (progesterone)
Patch transdermal
Implantable contraceptives
Intrauterine contraceptives (allows pregnancy still) ( shedding of the lining)
Emergency contraceptives (plan B)
Vaginal rings
Sterilization
Women, tubal ligation
Fallopian tubes are sealed
Vasectomy men
Cut the vast deference ( this carries sperm from the testes to the penis)
Abortion
Can be surgical or medical and can have both
Menopause effects on :
Brain
Heart
Bones
Breasts
Vagina
G.I.
Skin
Hot flashes, sleep mood, and memory problems
Decreased levels of HDL increased levels of CVD
Bone density loss increased risk of osteoporosis
Vaginal dryness
Less calcium absorbs more fractures
Skin dry, thin, collagen, production is decreased
Highest risk for sexually transmitted diseases
Sexually active teens
Indigenous youth
Youths should property
Youths limited education
Heterosexual females
Chlamydia
May be asymptomatic, vaginal discharge inflammation of rectum, and I lighting and throat
Number one bacterial STI in Canada
Gonorrhoea
May be asymptomatic
Increase urine ,vaginal discharge , arthritis
Second, most common Canada
Highly contagious
Almost exclusively transmitted via sexual activity
Able to pass on to neonate
Herpes
Primary
Recurrent
Blister like lesions, fever, headache and muscle aches
No cure lifelong
Primary most severe of prolonged the painful lesions
Recurrent infection is more localized and quicker solution tingling itching pain
Syphilis four stages
Primary
Bacteria enters
Secondary
Flu like symptoms
These two are reversible
Latent no symptoms
Tertiary tumours of the skin, bones and liver not reversible life-threatening
Warts
Cauliflower like clusters
That appear on Volvo service, vagina and anus
Vulvovaginal candidiasis preventative measures
Most common cause of vaginal discharge
Preventative measures, include cotton underwear, avoidance of irritants, good body hygiene, no douching, and no Supper tampons
Bacterial vaginosis
Vaginal discharge
50% of women are asymptomatic
Fish odour
High risk factors include multiple sex, partners, douching, and lack of vaginal healthy bacteria
Pelvic inflammatory disease
Results of infection in the upper female reproduction track
Frequently from untreated, chlamydia, or gonorrhoea
Complications infertility
