Ch.4 Reproductive System Concerns

Question 1

Define Amenorrhea

Answer 1

absence of menstrual flow

Question 2

What are the characteristics of primary Amenorrhea

Answer 2

(1) absence of both menarche and secondary sexual characteristics by 13
(2) absence og menses by age 16.5

Question 3

What is the characteristic of secondary Amenorrhea

Answer 3

a 6month or more cessation of menses after a period of menstruation

Question 4

Secondary Amenorrhea is commonly a result of what

Answer 4

Pregnancy

Question 5

Define Dysmenorrhea

Answer 5

pain during or before menstruation

Question 6

Define Primary Dysmenorrhea

Answer 6

Associated with the ovulatory cycle, excessive release of PGF which increases the amplitude and frequency of uterine contractions resulting in abdominal cramps

Question 7

What medical treatment can women use for dysmenorrhea

Answer 7

OCP’s

NSAIDS

Question 8

Why are OCP’s great for treating dysmenorrhea

Answer 8

they decrease PGF synthesis

Question 9

Define secondary dysmenorrhea

Answer 9

menstrual pain that develops later in life (after 25); usually associated with adenomyosis, endometriosis, PID, fibroids

Question 10

What are the common medications to treat PMS

Answer 10

OCP’s

NSAID

Question 11

What is Endometriosis

Answer 11

presence and growth of endometrial tissue outside the uterus

Question 12

What are some of the common symptoms of endometriosis

Answer 12

pelvic pain, dysmenorrhea, dyspareunia

Question 13

Can endometriosis have an impact on fertility

Answer 13

Yes. adhesions around the uterus can pull the uterus into a fixed retroverted position.

Question 14

For women who have endometriosis and desire to become pregnant, what medications are used

Answer 14

OCP’s

NSAID

Question 15

How do OCP’s help treat endometriosis

Answer 15

OCP’s that have a low estrogen to progestin ration help shrink the endometrial tissue