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
what are calcium needs of women depending on age?
9-19, 1300mg/d 19-50, 1000mg/d, >51 1200mg/d
What are biophosphates? How do they work?
alendrenate, risidronate Inhibit bone resorption and increase bone density
What is calcitonin helpful in preventing?
decreasing bone loss in spine
What is selective estrogen receptor modulater SERM)
Evista-mimics effect of estrogen on bones
How often should DEXA be repeated in pt’s with osteoporosis?
every 2 years
What are symptoms of candidiasis?
intense pruritis and erythema, thick white discharge, + KOH
What are possible symptoms of bacterial vaginosis?
gray discharge, fishy odor
what are symptoms of trichomoniasis?
profuse frothy yellow discharge, dysuria
What is treatment for candidiasis?
topical azoles-tx 1-3-7 days or oral azoles x 1 dose
What is tx for bacterial vaginosis?
metronidizole, oral and topical
what is treatment for trich?
metronidazole 2gm x1 dose
What is first treatment for candidiasis?
OTC antifungal or PO med x1
