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Gynae > Week 1 > Flashcards

Week 1 Flashcards

1
Q

4 characteristics of a regular period

A

Has the same time between each menses
Controlled and consistent flow
Asymptomatic
Clear start and stop

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2
Q

When is day 1 of the period

A

First day of red bleeding is DAY 1

not brown spotting, not over night or the evening

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3
Q

Day 1-5 these 2 hormones are low to enable uterine shedding

A

Estrogen and progesterone

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4
Q

Which hormones does the Pituitary gland produce?

A

Follicle stimulating hormone FSH

Luteinizing hormone LH

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5
Q

Between days 3-30 the PG starts to produce FSH and LH to stimulate the growth of these…

A

New follicles

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6
Q

On day 7 one of the follicles evolves and starts to produce _________

A

Oestrogen

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7
Q

Days 7-12 the high levels of __________ stimulate the endometrium to thicken and the cervical mucus glands to produce fertile mucus

A

Oestrogen

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8
Q

Days 12-13 are continued with high oestrogen, acting on the PG to produce a serge of __________ _______ . This matures the dominate follicle

A

LH

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9
Q

What happens on day 14

A

The egg is released from the follicle

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10
Q

Day 15-25 the _____ ______ form from the empty follicle and produces ____________

A

Corpus Luteum

Progesterone

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11
Q

____________ stimulates the endometrium to secrete nutrients and INHIBITS the PG from producing more FSH and LH

A

Progesterone

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12
Q

Spotting can indicate low ____________

A

progesterone

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13
Q

Days 25-28 ______ _____ dies causing progesterone and oestrogen levels to drop, this causes the endometrium to disintegrate and the period to start

A

Corpus luteum

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14
Q

Which gland stimulates FSH and LU and what is the acupuncture point related to it

A

PG and Yintang

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15
Q

How many days is considered a regular cycle

A

between 27 and 34

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16
Q

How long should the Luteal phase be in order to be considered fertile

A

10-16 days long

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17
Q

A prolonged follicular phase indicates _________ deficiency

A

Oestrogen or FSH deficiency

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18
Q

What is a BBT chart used for?

A

Understanding the hormone cycle, typically used as a fertility tool giving data for all physical changes that occur throughout the menstrual cycle

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19
Q

The BBT data is collected by doing this

A

Taking your temp in the morning before you get out of bed

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20
Q

In the follicular phase what is the average temp?

A

36.3-36.4

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21
Q

In the ______ phase the temp is elevated and maintained for 14 days indicating adequate ______ phase and therefore good progesterone levels

A

Luteal & Luteal

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22
Q

How many type of cervical mucus are there

A

4

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23
Q

What are the 4 types of cervical mucus

A

Dry
wet
slippery
creamy

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24
Q

Which half of the cycle should be cooler, first or second`

A

First/yin

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25
Q

Should you have cervical mucus during your period?

A

No

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26
Q

What type of mucus should there be when the body is preparing to release an egg

A

Clear eggwhite

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27
Q

If there is an absence of cervical mucus what type of deficiency would that be

A

Yin Xu

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28
Q

What type of cervical mucus comes after ovulation?

A

Creamy

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29
Q

What is the only yin fluid that we can see and feel?

A

Cervical mucus

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30
Q

Follicular growth and egg growth is considered to be Jing

T/F

A

True

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31
Q

Oestrogen = ?

A

Yin

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32
Q

Progesterone = ?

A

Yang

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33
Q

The menstrual cycle is divided into _ phases

A

4

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34
Q

What are the 4 phases of the cycle?

A

Period
post period
ovulation
pre period

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35
Q

Period, post period and ovulation all fall under the __________ phase

A

Follicular

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36
Q

Post ovulation and pre period require the same treatment principle whether treating fertility or dysmenorrhea
T/F

A

True

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37
Q

When does the Yin phase of the cycle occur?

A

From day 1 of the period until ovulation

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38
Q

Yin phase is driven by which hormone

A

Oestrogen

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39
Q

The yin or first half of the cycle from day 1 of the period until the first day of ovulation is also known as the Follicular phase, why

A

This is when the follicles mature

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40
Q

When the endometrium lining grows from nothing to abundance, this is known as what phase

A

Proliferative phase

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41
Q

When giving a treatment days 1-3 we should focus on moving _____

A

Blood

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42
Q

Hormones are considered a ____ ____ of qi

A

Free flow

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43
Q

Is cervical mucus needed for conception?

A

Yes

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44
Q

Rebuilding of the endometrium lining usually occurs during which part of the cycle?

A

within 2-3 days of the onset of the period

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45
Q

By day 5-6 the ___________ should be 1-2 mm thick and remodelling is complete

A

Endometrium

46
Q

During treatment we should move __________ and invigorate ____ _____

A

Stagnation and blood flow

47
Q

day 5-6 treatments will have the biggest impact on menstrual irregularities
T/F

A

True

48
Q

The Egg gamete is the _______ cell in the body

A

Biggest

49
Q

The Egg is the pinnacle of ___

A

Yin

50
Q

Ovulation is the transition from ___ to ____

A

yin to yang

51
Q

When does the yang phase occur?

A

From ovulation until the end of the period or pregnancy

52
Q

Yang phase also known as ______ phase

A

Luteal

53
Q

Corpus Luteum is responsible for producing ___________

A

Progesterone

54
Q

Yang phase known as Luteal phase because it is driven by the ______ ______

A

Corpus Luteum

55
Q

What happens to the BBT during this phase?

A

It rises

56
Q

During ovulation should we invigorate Yin or Yang

A

Yang

57
Q

During the yang phase the endometrium lining is thickest or thinnest

A

Thickest

58
Q

Before ovulation it is best to ____ the uterus to keep things moving

A

warm

59
Q

we can boost kidney yang by supplementing ___

A

Yin

60
Q

We boost Kidney yang by promoting __ and nourishing _____

A

QI and blood

61
Q

After the period we should nourish _____ and ___

A

Blood and Yin

62
Q

_________ stress at the time of ovulation can inhibit egg release

A

Emotional

63
Q

Extreme and prolonged stress negatively impacts the ________ _____ hormone release which causes a delayed egg maturation and ovulation, which causes a delayed menstrual cycle

A

Pituitary gland

64
Q

Prolonged stress reduces follicle development

T/F

A

True

65
Q

When there is a stress reduced hormone output during ovulation LH can Luteinise a follicle without _________ occuring

A

Ovulation

66
Q

A follicle can start to behave as if it has released its egg, producing progesterone which will lead to the ______ starting

A

Period

67
Q

Leteninised Unruptured Follicle syndrome leads to a short ______ phase or back and fourth mid cycle without __________ occuring which then causes irregular cycles

A

Luteal

Ovulation

68
Q

if your cycle is 7 days early or 7 days late, is that considered an irregular cycle?

A

Yes, unless this happens regularly

69
Q

An early cycle is considered when the period comes sooner than __ days after the last period

A

27

70
Q

An early period can be caused only by excess

T/F

A

F

It can be from XU or excess

71
Q

The condition of the ______ will enable diagnosis along with general body health

A

Period

72
Q

Heat in the blood often looks like ______ onset with a profuse and heavy flow

A

Sudden

73
Q

Heat in the blood, the color of the menses is ___ ___

A

Bright red

74
Q

With heat in the blood there will be profuse clotting

T/F

A

False, there will be no clotting

75
Q

Typically when there is heat in the blood it will be accompanied by other ________

A

Patterns

76
Q

Excess internal heat can be caused by a few different things

A 
Excess internal Heat
Yin xu with false heat
over consumption of warm and spicy foods
infections
overuse of warming herbs Liver qi stagnation transformed into fire
77
Q

Treatment for heat in the blood

A

Clear heat, cool blood, regulate Chong and Ren meridians

78
Q

A deficiency pattern for Early period would be __ deficiency

A

Qi

79
Q

Deficiency of Qi unable to lift ____ to contain _____

A

Yang to contain blood

80
Q

A menses with Qi deficiency the blood would be ____,_____ and ______

A

Thin, light and watery

81
Q

With Qi deficiency there maybe brown spotting almost immediately after _________

A

Ovulation

82
Q

Spleen Qi dominates the production of __ and ________ blood in the vessels

A

Qi and keeps blood in the vessels

83
Q

Deficiency of Qi leads to disturbance of blood flow within the _____ and ___ channels, since Qi controls _____

A

Chong and Ren, controlling blood

84
Q

Qi xu can be easily mistaken for __________

A

Stagnation

85
Q

It is possible for Qi deficiency to extend to ____ deficiency

A

Yang

86
Q

Symptoms of yang deficiency

A

Cold limbs
Pallor
preference for warm drinks
pale T and thready P

87
Q

Qi deficiency will have feelings of abdominal distention, or heaviness, bearing down or sinking sensation with spotting and fatigue

A
88
Q

Treatment principle for Qi deficiency

A

Tonify spleen Qi to restore control to blood

89
Q

With general Qi deficiency there may also be signs of Kidney Qi deficiency
T/F

A

True

Spotting, LBP, achey heavy legs, fatigue, frequent urination

90
Q

What are some indicators for Kidney Qi XU

A

Age
Overwork
prolonged illness
longstanding SP qi xu

91
Q

Reasons for a late cycle

A

Cold in the uterus
Yang xu
Blood stagnation

92
Q

Cold in the Uterus causes blood stagnation, dark clotted period and the abdomen will feel cold on palpation

A
93
Q

What causes cold in the body?

A

Lots of time outside
Lots of time in water as a child
prolonged use of cold herbs raw food, cold diet
patient will feel aversion to cold

94
Q

______ and ______ yang deficiency will impede the menstrual flow

A

Spleen and Kidney yang

95
Q

What does progesterone cause the BBT to do

A

rise

96
Q

If ____________ is deficient than ____ will not rise, taking longer for the cycle to function

A

Progesterone

Yang

97
Q

With Yang xu the patient will feel more fatigued than ____ but will prefer warmth and pressure

A

Cold

98
Q

What is the pulse like with Yang deficiency

A

Deep and Slow

99
Q

Patient will not feel premenstrual at all with ____ xu. There will be no change in hormones

A

Yang xu

100
Q

Treatment principle for Yang XU

A

Elevate Yang and qi

nourish spleen and kidney

101
Q

What is a long term consequence of retained cold, retained damp heat or Kidney deficiency

A

Blood Stagnation

102
Q

With blood stagnation the _____ vessel will not be ______ or _______ completely

A

Chong

Filled or emptied

103
Q

If the Chong Vessel is not filled this will negatively affect the _____ since it controls _____ ___________

A

Heart

Blood Circulation

104
Q

The _____ controls the Pituitary Gland

A

Heart

105
Q

The heart controls the PG, so Irregular messages to the ovaries may occur and destabilize the cycle T/F

A

True

106
Q

What will the pulse be like with Blood stagnation

A

Tight and thready

107
Q

Cold causes ____________

A

Contractions

108
Q

What governs reproductive health

A

Jing

109
Q

Anxiety can destabilize the PG which runs the ______

A

Uterus

110
Q

After ovulation, ____ should rise, If it doesnt the longer the cycle will take to turn to Yin and the longer it will take for the period to start

A

Yang

Gynae (5 decks)

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