Unit 14 - Self study 4 Flashcards Preview

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Flashcards in Unit 14 - Self study 4 Deck (21):
1

amenorrhea

absence of menstruation

2

primary ammenorrhea

failure to menstruate by age 15 or failure to menstruate and absense of secondary sex characteristics by age 13

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causes of primary ammennorrhea

gonadal dysgenesis, congenital mullerian agenesis, testicular feminization, hypothalmic piutuitary ovarian axis disorder

4

secondary ammennorhea

absense of menstruation for a minimum of 6mo in a women who has allready had a period

5

causes of secondary ammennorhea

oviarian, pituitary, hypothalmic dysfx, intrauterine adhesion, infection, pituitary tumor, anorexia, intense exercise

6

why my exercise cause ammennorhea

althers body fat muscle ration needed for menstruation to occur

7

dx for ammennorhea

hx px
endocrinology
pregnancy test
US of endometrium
endometrial biopsy
hysteroscopy,
progesterone withdrawl

8

tx for ammenorhea

underlying cause
cyclic progesterone or estrogen/progesterone

9

primary dysmennorrhea

menstrual pain that is not associated with physical abn

10

when does primary dysmennorrhea occur

with ovulatory menstruation and begins 6mo-2yrs after first periods

11

systemic mnfts of primarydysmennorea

headaches, NV, diarrhea, fatigue, irritability, dizziness, syncope

12

what type of pain is in dysmennorhea

dull, collicky, spasmodic that radiates to lower back, labia majora, upper thights.

13

secondary dysmennoreha

menstrual pain caused by spec condition

14

what conditions can cause secondary dysmen

endometriosis, uterine fibroids, adenomyosis, pelvic adhesion, IUD, PID

15

what causes pain in secondary dysmen

excessive prostaglandin formation causing painful contraction of uterus and arteriolar vasospasm

16

tx for dysmen 2

tx of symptoms
underlying cause

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what drugs are used in secondary dysmen

prostaglandin synthetase inhibitor or oral contraceptives

18

Menorrhagia

prolonged or eccessive bleeding c menstrual flow

19

et mennorrhagia

endocrine disturbances in younger women, or inflm disturbance, uterus tumours, hormonal imbal in older women

20

metorrhagia

vaginal bleeding between regular menstrual periods

21

et mettorrhagia

CA, benign tumors of uterus