Women's Health Flashcards
breast cancer risk factors
obesity
dense breasts
fam hx
low parity
estrogen exposure, including meds
most common breast masses
fibroadenoma, cyst
diagnostic study of choice if younger than 30 for breast mass
ultrasound
breast cancer screening
every 1-2 years until age 75, if >10 yr survival rate may continue screening
clinical breast exam
not recommended
primary dysmenorrhea characteristics
- Onset after menarche
- Severity stable
- Improves with parity
- Dyspareunia unusual
- NSAIDs, CHC effective
- Manage in primary care
secondary dysmenorrhea characteristics
- Onset mid-20s or older
- Increasing in severity
- Endometriosis, PID, etc.
- Dyspareunia especially deep
- Variable relief from NSAIDs, CHC
- Refer to OBGYN
PCOS symptoms
oligiomenorrhea
amenorrhea
AUB
hyperandrogenism
cystic ovaries
infertility
mood/mental health probs
Rotterdram criteria
dx for PCOS
requires 2/3: irregular cycles
hyperandrogenism
cystic ovaries
PCOS risks/complications
endometrial ca
infertility
diabetes
obesity
CVD
HLP
mental health issues
estrogen in COC provides
primarily cycle control
progestin in COC provides
primarily contraceptive effects
cervical cancer caused by
high risk HPV
HPV for most women
clears spontaneously after 8-24 months, especially if less than 24
HPV vaccine guidelines
give 2 doses if first by the age of 15
give 3 doses otherwise or if sexually active prior to first dosage