Amenorrhea: absent period. Primary: never period by 17-19.
Secondary: no period for 3
months or no flow for 12m (caused by exercise or emotions) Oligomenorrhea: infreq period Dysmenorrhea: pain w period or b4. Primary: idiopathic no abnormality. Secondary: organic disease. Due to endocrine imbalance. Check for colicky and cyclic dull pain in the lower pelvis that goes to perineum and back. Heat is prescribed also prostaglandin and aspirin, which causes vasodilation. Menorrhagia: excessive bleeding at the time of normal period, more than 7days. Caused by endocrine, inflammatory, or uterine tumors. Metrorrhagia: bleeding between periods, may be cancer or benign tumors. Endometrail biopsy. Dilation and curettage PMS is 7-10days before period. Loss of intravascular fluid into body tissue. Diet low in sugar and sodium. Give vita B6, calcium and magnesium. Menopause: 45-55. 1 year after last period. Hypothalamus. Risk of heart disease and stroke increase w estrogen reduction. Hot flashes caused by glandular imbalance. Functional ED: psychological Atonic ED: neuromuscular Tabes dorsalis caused by syphilis and spina bifida, lou Gehrig Primary infertility: never conceived Seconday: conceived but are now not able to. Females most fertile time: 20-29, males: teens to 20s Simple vaginitis: caused by e coli, staph, strep. T vag-foamy. C alb-cheeselike. Bacterialmilky. Meds at night and flat for 30mins. No Sex! Cervicitis: caused by STI. Follows child birth. Painful sex and bleeding after. PID: travels up the uterus to fallopian tubes (salpingitis) and ovaries (oophoritis) results in pelvic abscess. Pus leaks into abdomen Toxic shock syndrome: caused by staph, septic shock, life threatening. Occurs between 24 days of period. Flu symptoms. Red macular rash. Decreased urine and elevated BUN Endometriosis: 25-35. Women who have not conceived are at greater risk, chocolate cysts enclosed in an ovary. Vesicovaginal fistula: opening between the bladder and vagina. Diet high in protein, increase vita C Backward: retroversion-posterior retroflexion-doubles over
Forward: anteversion-tilts forward
Uterine prolapse through pelvic floor. First degree: cervix comes down into the introitus. Second: cervix protrudes through introitus. Third: entire uterus protrudes. Cystocele: displacement of the bladder into the vagina. Urine urgency, pelvic pressure Rectocele: rectum moves toward posterior vagina wall. Constipation, hemorrhoids Leiomyomas: benign tumors of the uterus Myomectomy is the tx of choice during childbearing. Carcinoma in situ: localized asymptomatic High Risks: HPV, Smoking, sex active, multiple births Leucorrhea: white vag discharge Early carcinoma: intracavitary internal radiation: brachytherapy Cancer of the endometrium: postmenopausal, ab pressure, pelvic fullness List some Neurological Abnormalities? Tabes Dorsalis(caused by advanced syphilis), congenital cord anomalies(spina bifida) spinal cord tumors, amyotrophic lateral sclerosis(Lou Gehrig's disease), multiple sclerosis, or cord compression(caused by a herniated disk) Recurrent episodes of acute prostatitis may cause fibrotic tissue to form; such fibrosis causes hardening of the prostate gland that may initially be confused with what? Carcinoma
SCHOOL-SANCTIONED COMPREHENSIVE SEX EDUCATION: A DEVIANT DOMINANT CULTURE BULLIES CHILDREN USING SEXUALLY EXPLICIT IMAGES THAT TRAUMATIZE AND GROOM THEM FOR SEX ABUSE, PORNOGRAPHY ADDICTION AND SEXUAL ASSAULT OF OTHERS