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Women's health + Pharm > Women's health lecture 3 > Flashcards

Women's health lecture 3 Flashcards

1
Q

What medications can you give for sexual dysfunction

A

SSRI and beta blockers

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2
Q

What are the three categories of DSM-V

A
  1. female sexual interest/arousal disorder
  2. female orgasmic disorder
  3. Gentiopelvic pain/penetration disorder
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3
Q

What can female orgasmic disorder cause

A

distress and interpersonal difficulty

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4
Q

which sexual dysfunction occurs in conjunction

A

female orgasmic disorder and sexual interest/arousal disorder

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5
Q

Dyspareunia

A

recurrent or persistent genital pain associated with sexual intercourse

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6
Q

What is a major course of genitopelvic pain in premenopausal?

A

Vulvodynia

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7
Q

vaginismus

A

recurrent or persistent involuntary spasms of the musculature of outer third of vagina that interferes with sexual intercourse

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8
Q

symptoms of vulvodynia

A

pain, burning, itching, stinging, irritation, rawness

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9
Q

What is considered infertility

A

inability to become pregnant after 1 year of frequent unprotected intercourse

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10
Q

primary infertility

A

never been able to get pregnant

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11
Q

secondary infertility

A

been pregnant in the past, but has 1 year of inability to conceive

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12
Q

Conditions of affecting infertility are divided into three main categories

A
  1. female factor
  2. male factor
  3. unexplained or other conditions
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13
Q

Urine LH kits

A

it can be missed if test only performed once daily
- There are LH in the system all the time but varies in conc

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14
Q

How to tell if you are ovulating using serum progesterone level

A

> 3mg/nL implies ovulation

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15
Q

What is the main sex chromosome abnormalities in female

A

Turner syndrome

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16
Q

What indicates ovarian failure

A

elevated FSH and LH levels

17
Q

What lab indicates polycystic ovaries

A

LH:FSH >3:1

18
Q

What lab suggests pituitary adenoma

A

elevated prolactin

19
Q

What does saline infusion sonogram evaluate

A

uterine cavity and shape

20
Q

hysterosalpinogram

A

evaluates intrauterine shape and tubal patency

21
Q

hysteroscopy

A

direct visualization if HSG suggest intrauterine defect

22
Q

laparoscopy

A

GOLD standard for diagnosing tubal or peritoneal disease

23
Q

How long does the male have to abstain from intercourse for semen analysis

A

2-3 days

24
Q

When should semen analysis occur?

A

within 1 hour

25
Q

What happens if the same analysis is abnormal?

A

*repeat in 1-2 weeks
*persistent abnormalities refer to urologist or reproductive endocrinologist

26
Q

percentage of unexplained infertility in men

A

40-50%

27
Q

How long does it take for sperm production and development?

A

70 days

28
Q

What labs to order for hypogonadism

A

serum testosterone, FSH and LH

29
Q

labs indicating primary hypogonadism

A

low testosterone, elevated FSH/LH

30
Q

labs indicating secondary hypogonadism

A

all three levels are low

31
Q

What are used to treat infertility in women

A

clomiphene citrate MC
alternative: letrozole

32
Q

MOA for clomiphene citrate

A

binds to estrogen receptors when there are perceived low estrogen –> stimulates gonadotropin release
*FSH and LH stimulate follicle development in ovaries

33
Q

Which test is used to see if clomiphene worked?

A

Serum progesterone on cycle day 21

34
Q

What med is associated with multiple gestations

A

clomiphene

35
Q

Letrozole is preferred in ________-

A

women with history of estrogen breast cancer since estrogen levels lower

36
Q

Intrauterine insemination

A

used with mild male infertility

37
Q

assisted reproductive technology

A

in vitro fertilization

38
Q

What medication is used to treat threatened abortion, premature labor?

A

Diethystilbesterol

Women's health + Pharm (10 decks)

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