WEEK 1-notebook notes Flashcards
Amenorrhea
Absence of menstrual flow
Hypogonadotropic amenorrhea
Losing period due to stress/mental illness
Reflects a problem in the central hypothalamic pituitary axis
Management for amenorrhea or hypogonadotropic amenorrhea
Medication, exercise, stress/coping mechanisms, calcium, vitamin D, potassium
Cyclic peri-menstrual pain/discomfort
Discomfort during menstrual cycle
Dysmenorrhea
Pain during/before menstrual cycle
Primary dysmenorrhea vs. Secondary dysmenorrhea
Primary: associated w/ovulatory cycles; subsides with age, common in late teens/early 20s
Secondary: pain after 25 years, bloating or pelvic fullness
Treatment for primary dysmenorrhea
Heat, pelvic rocking exercises, decrease salt and refined sugar, NSAIDS or oral contraceptives
What is secondary dysmenorrhea associated with?
Adenomyosis, endometriosis, PID, endometrial polyps, fibroids
Premenstrual syndrome symptoms
75% of women
Fluid retention, bloating, pelvic fullness, lower extremity edema, breast tenderness, weight gain, emotional changes, cravings, fatigue, backache, headache
Management for premenstrual syndrome
Decrease caffeine, amenorrhea treatments
Endometriosis
Presence and growth of endometrial tissue outside the uterus
Chocolate cyst
Cystic lesion of endometriosis found in the ovary
What happens during or after menstruation with endometriosis?
The tissue bleeds into adjacent organs causing an inflammatory response
Signs/symptoms of endometriosis
Pain during intercourse, pelvic pain, pelvic heaviness, pain radiating to thighs, pain with bowel movements, cause cause impaired fertility
Tx for endometriosis
NSAIDs, OCPs, GNRH agonists and androgen derivatives, surgery