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Flashcards in Female reproductive disorders Deck (18):
1

Dysmenorrhea

Painful menstrual flow
 Most common in young women
 Painful uterine cramping; lower abdomen and back pain
Underlying conditions: menopause, endometriosis.
 Tx: NSAIDS, oral contraceptives, heat packs, relaxation techniques, low-fat food choices

2

Premenstrual Syndrome

Caused by changes in the level of serotonin and fluid shifts
 Physical and emotional symptoms
 Occurs in women age 20-40
 Symptoms include: depression, angry outbursts, anxiety, headache, bloating, unclear thinking
 Tx: counseling, exercise, change in eating habits, antidepressants (SSRI)
Risk factors: smoking, alcohol.

3

Endometriosis

Uterine tissue implantation outside the uterine cavity (on an ovary)
 Monthly menstruation/bleeding occurs out of place causing scars; possibly infertility
 Affects women of all ages
 Symptoms include:pain(prior to mentruation), pelvic tenderness, painful sexual intercourse
 TX: like dysmenorrhea, endostatins, removal of adhesions

4

Dysfunctional Uterine Bleeding

excessive bleeding (> 80 ml of blood per cycle)
 Due to hormonal imbalance – no ovulation occurs → decrease progesterone → uterus overgrowth occurs →shedding of uterine lining (heavy bleeding)
 TX: hormone manipulation, NSAIDS, D&C, endometrial ablation

5

Menopause

Normal cessation of menstrual periods ( ahe 51)
 Amenorrhea for 12 months
 Ovaries no longer produce estrogen
 S/S: hot flashes, vaginitis, menstrual irregularity
 TX: HRT: hormonal replacement therapy (oral, transdermal, intravaginal), exercise, calcium supplements ( prone to osteoporosis)

6

Toxic Shock Syndrome (TSS)

Exotoxins produced from bacteria cross the vaginal mucosa and enter bloodstream
 Related to use of tampons
 S/S: quick onset of fever, hypotension, sunburn-like rash in eyes/skin
 TX: remove infection source, fluid balance restoration, IV antibiotics, pressors ( constrict blood vessels - increase BP)

7

Uterine Prolapse

Downward displacement of uterus
 Decrease of pelvic support
 Occur in stages ( 3 grades ; 3 - most severe )
 S/S: painful intercourse, backache, pressure on pelvis
 TX: pelvic support to elevate uterus (pessaries/spheres), Kegels exercises; estrogen therapy, surgery

8

Pelvic Inflammatory Disease (PID)

1. infectious process of organism migration;
2. affects reproductive organs ( fallopian tubes)
3. sexually transmitted organisms - chlamydia, gonorrhea
4. spread during sexual intercourse, child birth, abortion
5. S/s: lower abdominal pain, tenderness, flue like symptoms, vaginal bleeding / discharge.
6. TX: oral antibiotics, education
7. Symptoms main remain silent - if left untreated infertility occurs

9

Total vaginal hysterectomy (TVH)

Presence of small fibroids on uterus
 Removal of uterus & cervix through vagina

10

Total abdominal hysterectomy (TAH)

Present of large leimyomas
 Removal of uterus & cervix via bikini incision

11

Myoectomy

minimally invasive leiomyoma removal ;
laparascopic laser removal

12

Surgery - POST-OP

Incision/site, bleeding, dressing assessment
 Assess pain, vital signs, labs (esp. H&H,) fluid intake (See p. 1697 74-4; 74-8)
 INTERVENTIONS
 Cough & deep breathing, incentive spirometry, early ambulation
 Emotional supports, community resources

13

Endometrial cancer

- inner uterine lining
 Most common; slow growth; bleeding leads to early detection
 S/s: postmenopausal bleeding
Cause of bleeding is tumor - adenocarcinoma (growing)

14

Cervical cancer

squamous/columnar cells transform to cancerous cells (transformation zone)
 Caused by HPV exposure to cells on outside of cervix
 S/s: May present as warts, abnormal bleeding

15

Ovarian cancer

tumors growing on ovary surface
 Rapid growing, spread quickly
 Metastasize to distant sites via blood/lymph circ.
 May be linked to excessive estrogen exposure
 Leading cause of death of reproductive cancers
 S/s: abdominal pain, GI disturbances
 Low survival rate - diagnosed in later stages (not always symptomatic)

16

Cancer Treatments

Vary among cancers
 Chemotherapy
 Radiation
 Surgical procedures
 Palliative care
SUPPORT, SUPPORT, SUPPORT!!

17

Assessment

Pap smears, abnormal bleeding, discharge,
Abdominal/back pain, gas, incontinence, external appearance
 Family support
 Knowledge of cancer and overall health
 Pelvic exam: speculum, lubricant
 Inspected for color, shape, dilation, herpes, discharge, nodules, masses, bleeding

18

Nursing Diagnosis

Anxiety and Fear
 Acute Pain
 Anticipatory Grieving
 Risk for Sexual Dysfunction
 Ineffective Coping
 Potential for Hemorrhage