Test 4 part 1 Flashcards
onset of puberty occurs between ages
8-13
puberty is stimulated by
Gonasotropin releasing hormone from the hypothalamus
Is stimulated to secrete gonadotropins
anterior pituitary
gonadotropin stimulate the secretion of
estrogen form ovaries
when does menarche occur
2 years after the onset of secondary sex characteristics
Cycles are usually ______ the first few years after menarche
annovulatory
Hormones stimulating hormones (FSH) and luteinizing hormone (LH) mature the follicles Dominant follicle (Graafian) mature and produces estrogen
Follicular phase
Estrogen levels peak and begin to fall, progesterone levels increase
This is followed by surge in KH stimulating release of the oocyte from the dominate follicle
Ovulatory phase
Day 14 in the cycle
Empty follicle forms the corpus luteum
Corpus leuteum produces progesterone and will continue to produce progesterone and estrogen if pregnancy occurs
If no pregnancy occurs, the corpus leteum degenerates and progesterone levels decrease
This triggers the onset of menstruation
Luteal phase
Labs and test to test for menstruration abnormalities
hormone levels and thyroid panel
Ultrasound
Is moving from concrete thinking to more abstract thinking and problem solving
Consider moral and social issues
(Piagets formal operations stage)
developmental stage
Role identity, sense of self-esteem and worth, sexual identity
(Erikson)
psychosocial stage
Health problems specific to female adolescents may include
Eating disorders
STIs and pregnancy
Menstrual disorders
Acne
menopausal transition period
perimenopause
age range for perimenopause
35-58
when does the perimenopause transition end
cessation of menses for one full year
physical symptoms of hot flashes, sweating, and irregular periods
Mechanism is unknown
Vasomotor symptoms
when do perimenopause symptoms occur
2-8 years prior to menopause
what happens to labs during perimenopause
FSH levels increase
Estradiol decrease
TSH to rule out thyroid disease
Test form perimenopause women
DXA
Mammography
administration of hormones to alleviate menopausal symptoms
hormone replacement therapy
Estrogen only hormone replacement therapy can be used only in women who have had a
hysterectomy
combined therapy is used for women with
a uterus
plant absorbed products with estrogen properties such as yams, soy, carrots, and red clover
phytoestrogen