Unit 14 - Self study 4

Question 1

amenorrhea

Answer 1

absence of menstruation

Question 2

primary ammenorrhea

Answer 2

failure to menstruate by age 15 or failure to menstruate and absense of secondary sex characteristics by age 13

Question 3

causes of primary ammennorrhea

Answer 3

gonadal dysgenesis, congenital mullerian agenesis, testicular feminization, hypothalmic piutuitary ovarian axis disorder

Question 4

secondary ammennorhea

Answer 4

absense of menstruation for a minimum of 6mo in a women who has allready had a period

Question 5

causes of secondary ammennorhea

Answer 5

oviarian, pituitary, hypothalmic dysfx, intrauterine adhesion, infection, pituitary tumor, anorexia, intense exercise

Question 6

why my exercise cause ammennorhea

Answer 6

althers body fat muscle ration needed for menstruation to occur

Question 7

dx for ammennorhea

Answer 7

hx px
endocrinology
pregnancy test
US of endometrium
endometrial biopsy
hysteroscopy,
progesterone withdrawl

Question 8

tx for ammenorhea

Answer 8

underlying cause

cyclic progesterone or estrogen/progesterone

Question 9

primary dysmennorrhea

Answer 9

menstrual pain that is not associated with physical abn

Question 10

when does primary dysmennorrhea occur

Answer 10

with ovulatory menstruation and begins 6mo-2yrs after first periods

Question 11

systemic mnfts of primarydysmennorea

Answer 11

headaches, NV, diarrhea, fatigue, irritability, dizziness, syncope

Question 12

what type of pain is in dysmennorhea

Answer 12

dull, collicky, spasmodic that radiates to lower back, labia majora, upper thights.

Question 13

secondary dysmennoreha

Answer 13

menstrual pain caused by spec condition

Question 14

what conditions can cause secondary dysmen

Answer 14

endometriosis, uterine fibroids, adenomyosis, pelvic adhesion, IUD, PID

Question 15

what causes pain in secondary dysmen

Answer 15

excessive prostaglandin formation causing painful contraction of uterus and arteriolar vasospasm

Question 16

tx for dysmen 2

Answer 16

tx of symptoms

underlying cause

Question 17

what drugs are used in secondary dysmen

Answer 17

prostaglandin synthetase inhibitor or oral contraceptives

Question 18

Menorrhagia

Answer 18

prolonged or eccessive bleeding c menstrual flow

Question 19

et mennorrhagia

Answer 19

endocrine disturbances in younger women, or inflm disturbance, uterus tumours, hormonal imbal in older women

Question 20

metorrhagia

Answer 20

vaginal bleeding between regular menstrual periods

Question 21

et mettorrhagia

Answer 21

CA, benign tumors of uterus