Women's health lecture 3

Question 1

What medications can you give for sexual dysfunction

Answer 1

SSRI and beta blockers

Question 2

What are the three categories of DSM-V

Answer 2

1. female sexual interest/arousal disorder
2. female orgasmic disorder
3. Gentiopelvic pain/penetration disorder

Question 3

What can female orgasmic disorder cause

Answer 3

distress and interpersonal difficulty

Question 4

which sexual dysfunction occurs in conjunction

Answer 4

female orgasmic disorder and sexual interest/arousal disorder

Question 5

Dyspareunia

Answer 5

recurrent or persistent genital pain associated with sexual intercourse

Question 6

What is a major course of genitopelvic pain in premenopausal?

Answer 6

Vulvodynia

Question 7

vaginismus

Answer 7

recurrent or persistent involuntary spasms of the musculature of outer third of vagina that interferes with sexual intercourse

Question 8

symptoms of vulvodynia

Answer 8

pain, burning, itching, stinging, irritation, rawness

Question 9

What is considered infertility

Answer 9

inability to become pregnant after 1 year of frequent unprotected intercourse

Question 10

primary infertility

Answer 10

never been able to get pregnant

Question 11

secondary infertility

Answer 11

been pregnant in the past, but has 1 year of inability to conceive

Question 12

Conditions of affecting infertility are divided into three main categories

Answer 12

1. female factor
2. male factor
3. unexplained or other conditions

Question 13

Urine LH kits

Answer 13

it can be missed if test only performed once daily
- There are LH in the system all the time but varies in conc

Question 14

How to tell if you are ovulating using serum progesterone level

Answer 14

> 3mg/nL implies ovulation

Question 15

What is the main sex chromosome abnormalities in female

Answer 15

Turner syndrome

Question 16

What indicates ovarian failure

Answer 16

elevated FSH and LH levels

Question 17

What lab indicates polycystic ovaries

Answer 17

LH:FSH >3:1

Question 18

What lab suggests pituitary adenoma

Answer 18

elevated prolactin

Question 19

What does saline infusion sonogram evaluate

Answer 19

uterine cavity and shape

Question 20

hysterosalpinogram

Answer 20

evaluates intrauterine shape and tubal patency

Question 21

hysteroscopy

Answer 21

direct visualization if HSG suggest intrauterine defect

Question 22

laparoscopy

Answer 22

GOLD standard for diagnosing tubal or peritoneal disease

Question 23

How long does the male have to abstain from intercourse for semen analysis

Answer 23

2-3 days

Question 24

When should semen analysis occur?

Answer 24

within 1 hour

Question 25

What happens if the same analysis is abnormal?

Answer 25

*repeat in 1-2 weeks *persistent abnormalities refer to urologist or reproductive endocrinologist

Question 26

percentage of unexplained infertility in men

Answer 26

40-50%

Question 27

How long does it take for sperm production and development?

Answer 27

70 days

Question 28

What labs to order for hypogonadism

Answer 28

serum testosterone, FSH and LH

Question 29

labs indicating primary hypogonadism

Answer 29

low testosterone, elevated FSH/LH

Question 30

labs indicating secondary hypogonadism

Answer 30

all three levels are low

Question 31

What are used to treat infertility in women

Answer 31

clomiphene citrate MC alternative: letrozole

Question 32

MOA for clomiphene citrate

Answer 32

binds to estrogen receptors when there are perceived low estrogen --> stimulates gonadotropin release *FSH and LH stimulate follicle development in ovaries

Question 33

Which test is used to see if clomiphene worked?

Answer 33

Serum progesterone on cycle day 21

Question 34

What med is associated with multiple gestations

Answer 34

clomiphene

Question 35

Letrozole is preferred in ________-

Answer 35

women with history of estrogen breast cancer since estrogen levels lower

Question 36

Intrauterine insemination

Answer 36

used with mild male infertility

Question 37

assisted reproductive technology

Answer 37

in vitro fertilization

Question 38

What medication is used to treat threatened abortion, premature labor?

Answer 38

Diethystilbesterol