Reproductive Health Flashcards
where is sperm produced?
seminiferous tubules of testes
when does sperm production start?
tanner stage IV
what hormones stimulate production of sperm?
LH and FSH
what medications can cause erectile dysfunction?
• anticholinergics (antidepressants especially paroxetine, antipsychotics, antihistamine)
• BP meds (especially beta blockers, clonidine and thiazide). Lower rates of ED with ACE-I and ARB
OTC meds: cimetidine, ranitidine
Alcohol
which ED medication is the longest lasting?
tadalafil (Cialis)
* up to 36 hours
which ED medication is also used for concurrent LUTS/BPH?
tadalafil
organism responsible for balanitis?
treatment?
candida
clotrimazole 1% or miconazole 2% BID X 7-14 days
treatment (and duration) for chronic bacterial prostatitis?
cipro 500 mg BID x 4-6 weeks
OR
septra DS BID x 4-6 weeks
treatment (and duration) for acute bacterial prostatitis?
• Treatment:
○ If age <35: ceftriaxone 250 mg IM and doxy 100 mg BID x 10 days
○ If age >35: cipro BID x 10-14 days minimum (up to 4-6 weeks)
Prehn’s sign is positive in which condition?
epididymitis
relief of pain with scrotal elevation
Duration of treatment for acute bacterial epididymitis?
If age <35 or suspect STI:
- doxy BID x 10 days PLUS ceftriaxone 250 mg IM x 1 and treat partner
- to cover CT and GC
If age >35:
-levofloxacin 500 mg x 10 days to cover enteric pathogens
majority of varicoceles are on which side?
90% are on left side
what cancers are associated with BRCA 1 and 2?
Personal or family hx of breast, ovarian, prostate or pancreatic cancer
Risk factors for ectopic pregnancy?
Risk factors: ○ Prior ectopic ○ Use of IUD ○ TL ○ IVF
what are the risk factors for breast cancer in men?
cryptorchidism
positive fam hx
BRCA 1/2 mutation
