Reproductive disorders Flashcards
What is dyspareunia?
Painful sex
What is a cystocele?
Muscles between bladder and vagina weaken and bladder imposes into vaginal space. Treatment varies depending on severity. Sometimes strengthening exercises resolve it. Sometimes surgery to repair is needed.
What is hydrocele?
Fluid collection in scrotum. Improper lymph drainage. Common in infants. Painless and usually resolves without treatment. Use a flashlight to shine through and determine if fluid or a mass. (transillumination).
What is a varicocele?
Enlargement of veins of testicles. Said to feel like worms on palpation.
What is rectocele?
Prolapse of rectum into back wall of vagina.
What is phimosis?
Tight foreskin that can’t be pulled back. Looks like a rubber band of skin around the tip of penis.
Role of progesterone.
Made by ovaries. Levels rise during secretory phase of menstrual cycle. This is the phase that preps uterus for implantation. Uterus blood supply increases and endometrium thickens. Happens just before menses. (if no implantation occurs). The levels low when estrogen levels high and vice versa.
What are the androgens?
Mostly thought of as testosterone but there are some other lesser known androgens secreted by the adrenal cortex. (DHEA). Made in women as well.
What are the gonads?
Testes in men
Ovaries in women.
What is a spermatocele?
Cyst that develops in the epididymis. (the comma shaped structure found on top of the testis. Tightly coiled transport system of sperm on its way from the testis to the vas deferens)
What does galactorrhea mean?
Abnormal discharge from nipple. Endocrine or neurological etiology.
What is role of testosterone?
Major hormone of testes. Responsible for spermatogenesis and development of secondary sex characteristics. Women make it in small amounts.
What are the 5 P’s of taking a sexual history?
Partners-what type? How many?
Practices-what kind of sex?
Protection
Past hx of STIs
Pregnancy prevention-Trying? If not, how are you preventing?
Info about gynecomastia.
Onset at puberty, temporary, and usually resolves by age 20. Caused by a hormonal change that will balance self.
What is orchitis?
Inflammation or infection of testicle. Edema, pain, tenderness, shininess. Many causes. Usually post viral or bacterial.
Symptoms of testicular torsion.
Pain, swelling, Nausea and vomiting. Sudden onset (sometimes around an injury) Emergency surgery required.
What is prostatitis?
Inflammation of prostate.Commonly from an e.coli infection. Broad term. Will perform a urinalysis, CBC, blood culture and treat with antibiotic.
Prostate cancer info.
Slow growing. Similar symptoms to BPH. PSA elevated. Spreads to pelvis and lumbar spine. Screenings recommended for everyone starting at age 50.