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Woman's Health Issues

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Question
Answer
show 12-17 - if not by 17 then healthcare investigation to check hormones  
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show sprays can cause irritation and douching increases vaginal infections  
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show Amenorrhea (as in AMEN no more periods) May be due to primary (never starts) or secondary (occures after menstration starts) or r/t pregnancy  
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show Menorrhagia  
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A dysfunctional uterine bleeding (DUB) or abnormal bleeding pattern where bleeding is EXCESSIVE between cycles or IRREGULAR   show
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show Uterine fibroids, menopause, and endometral cancer  
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show Dysmenorrhea - there is an increase in prostaglandins so take NSAID, can double the dose  
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Differentiate between primary and secondary dysmenorrhea (painful menstration)   show
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Other than NSAID's, what is the management of dysmenorrhea   show
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sociocultural impact of ____ is missing school or work and the emotional upset this causes   show
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show Premenstrual syndrom (PMS)  
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show diet, vit B6, antidepressents  
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show PMS  
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____ is a normal process, not a disorder where ovaries stop producting estrogen   show
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show ovaries, not the uterus (hysterectomy)  
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show vasomotor symptom  
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symptoms of menopause   show
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Management of menopause   show
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show Total abdominal hysterectomy, Total vaginal hysterectomy and Bilateral salpinges ooporectomy (take out the tubes and ovaries)  
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show cancer, fibroids, severe endometriosis, chronic PID, abnormal uterine bleeding (AUB) and pelvic relaxation (cystocele and or rectocele due to weakening of the vaginal wall and the bladder or rectum pouch into vagina)  
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show After period b/c hormones ar lowest  
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What percipitates the first pelvic exam & pap smears   show
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Cervical cancer used to have a high mortality rate, why has it decreased significantly   show
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Name the two strands for atypical squamous cells (ASC) and what they mean   show
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dysplasia can be either low grade (LSIL low grade squamous intraepithelial lesion) or high grade (HSIL high grade squamous intraepithelial lesion) what is the significance of each   show
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show Gonorrhea and Chlamydia  
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show early and multiple sex partners  
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what is primary and secondary prevention of pelvic inflammatory disease   show
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show Symptoms may go away but still have disease. Test for cure in two weeks, may need hospitalization when oral antibiotics don't work and surgery to remove pelvic abscess (can be life threatening)  
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The goal of antibiotic therapy for PID is to prevent ____ of fallopian tubes   show
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show completing course of antibiotic therapy, potential for recurring infection, chronic PID and outcome (loss of reproductive capabiity)  
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show endometriosis - can adhear to organs - stick together and scarring  
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show endometriosis  
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Why is dysparenunia a symptom of endometroisis   show
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show pseudopregnancy (oral contraceptives) and pseudomenopause (androgenic agents such as Danazol & Lupron) or (GnRHa Leuprolide)  
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show lacroscopy to remove endometrial foci, hysterectomy, and possible salpingo-oophorectomy  
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show Both are inability to concieve despite unprotected intercourse for one year, but secondary happens whith previous conception  
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show 10-15% of all couples have impared fertility. 1/3 male, 1/3 female and 1/3 both  
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show abnormal sperm, obstructed genital tract, abnormal genital tract secretions and ejactulation problems  
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female etiology of female infertility   show
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show when the couple as tried unsuccessfully to concieve for 12 months or more  
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show Woman is over 35, irregular menses, has severe dysmenorrhea or dyspareunia or a medical hx of: mumps in male, repeated miscarriages, ectopic pregnancy, PID or pelvic surgery in female, and serious medical problems in either partner  
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show cervical factors (spinnbarkeit or stretchy mucus and ferning under microscope)  
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When assessing for infertility, which hormones are reviewed   show
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show basal body temp (drops at ovulation then rises), cervical mucus (stretchy), and hormonal assessment kit (FSH & LH)  
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____ is evaluation of uterine structures and tubal patency   show
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show motility, morphology and number  
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Tertiary prevention of infertility includes   show
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_____ is an abnormally heavy and prolonged menstrual period at regular intervals. Causes may be due to abnormal blood clotting, disruption of normal hormonal regulation of periods or disorders of the endometrial lining of the uterus.   show
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show Metrorrhagia-May or may not be associate with the post-menopausal period.  
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