Reproductive Health

Question 1

What does testosterone affect?

Answer 1

prostate function, maintains muscle bulk, adequate RBC’s, bone growth, sense of well-being, sexual function, may improve ED

Question 2

What health conditions are associated with low testosterone in men?

Answer 2

metabolic syndrome, type 2 diabetes, cardiovascular disease

Question 3

what inhibits testosterone production?

Answer 3

alcohol

Question 4

What are the primary male hormones?

Answer 4

testosterone, androgen

Question 5

What are the primary female hormones?

Answer 5

estrogen, progesterone, androgen, follicle stimulating hormone (FSH), leutinizing hormone (LS), relaxin

Question 6

What is normal Prostate Specific Antigen (PSA) level?

Answer 6

2.5 - 4 ng/ml

Question 7

what is orchitis?

Answer 7

testicle inflammation

Question 8

Poor diet can lead to anemia, which can lead to…?

Answer 8

low libido

Question 9

hat fat diet increase the risk for what disease?

Answer 9

breast, ovary, or prostate cancer

Question 10

what illnesses can lead to orchitis?

Answer 10

mumps

Question 11

when experiencing heavy menses, what supplement should be taken?

Answer 11

iron

Question 12

What gene mutations increase risk for breast or ovarian cancers?

Answer 12

BRCA1 and BRCA2

Question 13

increased levels of PSA indicate what illnesses?

Answer 13

prostatitis, benign prostatic hyperplasia, prostate cancer

Question 14

How often should women get PAP?

Answer 14

by 21 or within 3 yrs of becoming sexually active; yearly until 30 (or every two yrs with liquid based test); every 3 yrs until 70 (if 3+ previous were WNL)

Question 15

What is endometriosis?

Answer 15

endometrial (inner uterine) tissue implantation outside the uterus

Question 16

List interventions for endometriosis

Answer 16

Reduce pain (NSAIDs)
Restore sexual function
Decrease fear and anxiety
Enhance self-esteem
Education

Question 17

What oral contraceptives may be useful with endometriosis?

Answer 17

progestin

or injectable medroxyprogesterone

Question 18

What are some surgical treatments for endometriosis?

Answer 18

laparoscopic removal

laser vaporization

Question 19

what is dysfunctional uterine bleeding (DUB)?

Answer 19

excessive and frequent bleeding (more than q 21 days)

Question 20

List some things that may be done during collaborative care assessment

Answer 20

complete menstrual history
assess for anemia (CBC)
MD or NP- PAP, pelvic exam,
   rectal exam
STD test

Question 21

Nonsurgical management for DUB

Answer 21

• Progestin or combo hormone therapy for heavy bleeding
• oral contraceptive for nonemergent bleeding
• injectable leuprolide (Lupron) to cause amenorrhea (potent side effects

Question 22

Surgical management of DUB

Answer 22

endometrial ablation- removal of uterine lining buildup

• uterine artery embolization, dilation and curettage
• hysterectomy