womens health Flashcards
Which of the following is a risk factor for developing endometriosis?
retrograde menstruation
Endometriosis is a condition where the tissue that normally grows inside the uterus begins to grow other places outside the uterine walls, such as the fallopian tubes, ovaries, and even the intestines if it is bad enough. Although the cause of endometriosis is unknown, there are several factors that can increase the risk: retrograde menstruation, where the blood that normally shed during menses flows back up into the fallopian tubes, hormones that cause overproduction of the endometrial cells, surgical scar implantation, or even the immune system. Obesity, diabetes mellitus, and PCOS all may be risk factors in other conditions, but not for developing endometriosis.
polycystic ovarian syndrome
Hormonal disorder
PCOS
acne, weight gain, acanthos , irregular menses, weight gain
Need 2 out of 3 of rotterdam criteria
PCOS medications
Metformin, spironactone
The Rotterdam criteria consists of
hyperandrogenism, ovulatory dysfunction, and polycystic ovaries.
Patients diagnosed with polycystic ovarian syndrome (PCOS) are at increased risk of what type of cancer?
endometrial cancer. Due to the ovulation dysfunction, patient’s do not have regular menstrual cycles. Irregular menstrual cycles do not allow for routine endometrial shedding. This can cause hyperplasia of the endometrial lining, which places patients with polycystic ovarian syndrome (PCOS) at greater risk of endometrial cancer.
menopause herbal
black cohosh
ginko
Breast cancer screening is done
50-74 every 2 years
Most common cause of breast lumps
fibrocystic breasts
Pap smears start at age
25
25 - 65 HPV testing, every 5 years if negative
age 65 discontinue
Old guidelines we start at age 21
non horomonal contraceptive option
Copper U - paraguard
which contraceptive increases risk of osteoporosis
Dep provera
do not use more than 5 years
which should we give to breastfeeding women
progestine only
mini pill
IUD
which cannot be used in pts with a migraine with aura
combined contraceptive options
which combined option has the highest risk for clot
dulane patch
