Unit 14: Women's health Flashcards
What is most common cause of PID?
N Gonorrhea and C trachomatis
What is diagnostic criteria of PID?
lower abdominal tenderness, adnexal tenderness, cervical motion tenderness
What HPV strains are more commonly associated w/ CA?
6, 18, 31, 33, 35
What are the least adrenergic progesterones?
3rd gen-norgestimate
What type of pills are best for breakthrough bleeding?
monophasic
What does too much estrogen in OCPs cause?
heavy bleeding, cystic breasts, GI, bloating
What does too much progestin cause in OCPs?
increase appetite, depression, fatigue
How long does menopause take?
208 years
What is median age of menopause onset?
49-51
What are non pharmacologic things to do for menopause symptoms?
decrease ETOH, caffeine, carbs; phyoestrogens; st john’s wort; black cohosh
What pt’s is progestin effective for in menopause?
those w/ intact uterus
What are absolute contraindications to MHT?
known breast CA, known endometrial CA, genital bleeding, liver disease, dvt, prego
What is first, second, line therapy for menopause symptoms?
1st (with uterus) continuous combined therapy 2nd if unable to tolerate PO can try vaginal, transdermal 3rd: increase dose. If decreased libido, add testosterone
When does osteoporosis occur?
when resorption > remodeling
what are 3 types of osteoporosis?
Type I post menopausal: Ages 51-75 due to decreased estrogen-vertebrae and distal femur most common Type II senile >70. Hip, pelvic, vertebra. Type III secondary to other meds or diseases
