Tuesday - pap smear - someone Flashcards
menopause defined as
permanent stop of menses
usually around 51
decreased estrogen and increase FSH
medical concerns
osteoporosis, skin discoloration, mood, sexual changes
how does menopause happen
follicle decrease -> inhibin falls –> FSH rises - estradiol decline
what happens to androgen production
decreases in ovaries and adrenals
thinning of skin is due to
decreased collagen production
Hot flashes are correlated to what
estroen levels
up to 30per day for 1-5 minutes, usually 2-3 years
abnormal menses around menopause
don’t forget to rule out…
don’t forget to rule out pregnancy
tx for osteoporosis
HRT, bisphosphonate, calcitonin, SERM, cal, Vit D
Why was the women’s health initiative stopped
increased risk of several cancers
but the overall risk was still super low.
it prevented colon cancer and hip fractures
women’s health initiative number 2. how was ti different
just estrogen no progesterone
increased risk of clot
no change in CV disease, colon cancer
what do a lot of people with cervical cancer have in common
they weren’t screened
what can cause atypical cell on a pap smear that isn’t dysplastic
infection
Risk factors for cervical cancer
hiv/immune supressed
hx of abnormal test
HPV is common under age 21, but we don’t screen until 21. why
90% resolve with 2 years
1-2 per million actually have cancer
How often should gals get a pap (21-29yo)
every 3 years
1 year if immunosupressed
