Women's health lecture 3 Flashcards
What medications can you give for sexual dysfunction
SSRI and beta blockers
What are the three categories of DSM-V
- female sexual interest/arousal disorder
- female orgasmic disorder
- Gentiopelvic pain/penetration disorder
What can female orgasmic disorder cause
distress and interpersonal difficulty
which sexual dysfunction occurs in conjunction
female orgasmic disorder and sexual interest/arousal disorder
Dyspareunia
recurrent or persistent genital pain associated with sexual intercourse
What is a major course of genitopelvic pain in premenopausal?
Vulvodynia
vaginismus
recurrent or persistent involuntary spasms of the musculature of outer third of vagina that interferes with sexual intercourse
symptoms of vulvodynia
pain, burning, itching, stinging, irritation, rawness
What is considered infertility
inability to become pregnant after 1 year of frequent unprotected intercourse
primary infertility
never been able to get pregnant
secondary infertility
been pregnant in the past, but has 1 year of inability to conceive
Conditions of affecting infertility are divided into three main categories
- female factor
- male factor
- unexplained or other conditions
Urine LH kits
it can be missed if test only performed once daily
- There are LH in the system all the time but varies in conc
How to tell if you are ovulating using serum progesterone level
> 3mg/nL implies ovulation
What is the main sex chromosome abnormalities in female
Turner syndrome
What indicates ovarian failure
elevated FSH and LH levels
What lab indicates polycystic ovaries
LH:FSH >3:1
What lab suggests pituitary adenoma
elevated prolactin
What does saline infusion sonogram evaluate
uterine cavity and shape
hysterosalpinogram
evaluates intrauterine shape and tubal patency
hysteroscopy
direct visualization if HSG suggest intrauterine defect
laparoscopy
GOLD standard for diagnosing tubal or peritoneal disease
How long does the male have to abstain from intercourse for semen analysis
2-3 days
When should semen analysis occur?
within 1 hour
What happens if the same analysis is abnormal?
*repeat in 1-2 weeks
*persistent abnormalities refer to urologist or reproductive endocrinologist
percentage of unexplained infertility in men
40-50%
How long does it take for sperm production and development?
70 days
What labs to order for hypogonadism
serum testosterone, FSH and LH
labs indicating primary hypogonadism
low testosterone, elevated FSH/LH
labs indicating secondary hypogonadism
all three levels are low
What are used to treat infertility in women
clomiphene citrate MC
alternative: letrozole
MOA for clomiphene citrate
binds to estrogen receptors when there are perceived low estrogen –> stimulates gonadotropin release
*FSH and LH stimulate follicle development in ovaries
Which test is used to see if clomiphene worked?
Serum progesterone on cycle day 21
What med is associated with multiple gestations
clomiphene
Letrozole is preferred in ________-
women with history of estrogen breast cancer since estrogen levels lower
Intrauterine insemination
used with mild male infertility
assisted reproductive technology
in vitro fertilization
What medication is used to treat threatened abortion, premature labor?
Diethystilbesterol
