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58 Cards in this Set
- Front
- Back
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endometriosis def
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abnormal growth of endometrial cells outside uterus
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endometriosis affects
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1. endocrine 2. immunological 3. GI
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endometriosis implants
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endometriosis cells that attach to ouside of uterus
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endometriosis implant locations
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1. usu ovaries 2. fallopian tubes 3. out surf uterus/intestine 4. surface pelvic cavity
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endometriosis when?
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women in their repro years
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endometriosis prevelance
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asymptomatic but est 3-18%
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endometriosis leading cause of
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1. pelvic pain 2. laprascopic surgery 3. hysterectomy
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endometriosis and infertility
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20-50% tx infertility women have it
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endometriosis heightened risks
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1. breast cancer 2. melanoma 3. ovarian cancer 4. non-Hodgkin's lymphoma
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endometriosis increased risks
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1. lupus erythema 2. RA 3. MS 4. chronic fatigue syndrome 5. hypothroidism 7x 6. fibromyalgia 2x
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endometriosis theory of cause
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1. allergies 2. dioxin (mammal fat exposure)
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endometriosis first symptoms
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beginning early as 8yo due to chemicals
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endometriosis discomfort/ovulation
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high during ovulation esp under 20
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endometriosis symptoms
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1. pain/dysmenhorrea 2. fatigue/low energy 3. diarrhea 4. GI 5. ab bloating 6. allergy food/hormone 7. heavy bleed 8. pain after sex 9. NV 10. dizzy 11. headache
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endometriosis and allergies
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57% had allergies esp 1. pollen 2. dust 3. grass 4. smoke 5. perfume 6. tree 7. food 8. cleansers
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endo stats vs allergies to pollen
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41 vs 13
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endo stats vs asthma
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14 vs 6
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endo stats vs eczema
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17 vs 6
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endometriosis pain locations
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<25yo pain 1. both ovaries 2. uterus/mid pelvis esp <20 3. low back 4. rectum
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endometriosis diagnosis
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1. laprascopy 2. slow to report 3. slow to diagnose 4. if slow diagnosis = hysterectomy
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endometriosis tx
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1. meds helped 56 2. lap surgery 66 3. lap 14 incr problems
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endometriosis alt tx
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1. candidiasis tx 65 2. exercise 63 3. diet 62 4. counseling 59 5. acupuncture 56 6. vitamins 56
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menopause def
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1. absence of period for 12mo 2. vary lengths then ovary funx cease
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menopause and ovaries
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source of femal hormones 1. control femal char 2. regulate cycle/preg 3. protect bone
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menopause and surgery
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1. oophroectomy = surgical menopause 2. cancer/rad therapy
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premature ovarian failure
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menopause before 40yo
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menopause symptoms
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1. each women different 2. some or no symptoms
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menopause and bleeding
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1. no pattern 2. abnormal bleed rt decrease in fertility 3. can still get preg if perimenopausal
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hot flashes
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1. common 2. head and chest 3. 30s to 7min 4. flush/perspire 5. hormone/biochem flux rt decr estrogen
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menopause vaginal symptoms rt decr estrogen
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1. thin 2. dry 3. decr elasticity
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menopause vaginal symptoms
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1. dry 2. itch 3. irritation 4. dyspreunia 5. incr vag inf
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menopause urethra symptoms
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1. thin 2. dry 3. decr elasticity 4. incr UTI 5. feeling need to urinate 6. incontinence
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menopause cog/emo symptoms
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1. fatigue 2. memory problems 3. irritability
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menopause other changes
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1. weight gain 2. more ab fat 3. change in skin 4. incr acne 5. incr testosterone/hair
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menopause assoc risks
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1. osteoperosis 2. CVD
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menopause vasomotor symptoms lifestyle mod
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1. decr core body temp 2. reg exercise 3. weight ment 4. stop smoke 5. avoid hot/alk drinks
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menopause estrogen therapy
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1. Estrogen or Estrogen Progesterone Therapy 2. most effective medical therapy
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menopause progestin therapy
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progestin/lo OCC best for transition to menopause
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postmenopausal bleeding
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any unexpected vaginal bleed after 12mo of amenhorrhea
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HT indications
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1. with premature ovarian fail 2. early menopause 3. can be recommended until age of natural menopause 4. diabetics 5. osteoperosis/usual dose 6. lo dose not tested to work yet
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estrogen therapy indications
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1. women undergone surgical menopause for endometriosis 2. prevent postmenopausal UTI 3. depressive disorders 4. augments SSRI 5. perimenopausal depressed
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HT contraindications
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1. sole purpse to prevent CVD 2. hi risk DVT/thromboembolism
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menopause and stroke
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risk factors should be discussed 1. obesity 2. ht 3. smoke
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menopause, older, and CVD
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1. address CVD risks 2. low/ultralow estrogen prefer
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HT and breast cancer
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1. talk about risk 2. possible to do HT with breast cancer risk with counselling
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urogenital concerns - vag atrophy tx
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1. conjugated estrogen cream 2. estradiol ring 3. estradiol vag tablets
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urogenital concerns - endometrial protection
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women with proper estrogen dose do not need progestin cotherapy
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urogenital concerns - polycarbophil gel
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vaginal mosturizer for 1. vaginal atrophy 2. dryness 3. dyspareunia
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urogenital concerns - stress incontinence tx
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non surgical options 1. weight loss if obese 2. pelvic floor physio 3. vaginal cones 4. elec stim 5. pessaries
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urogenital concerns - urge incontinence tx
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1. lifestyle mod 2. bladder drill 3. antimusc therapy
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estrogen therapy contraindications
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1. postmenopausal urge/stress incontinence but before surgery 2. dementia 3. Alzheimer
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menopause sexual concerns
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assess biopsychosexual of both partners
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sex hormone level testing contra
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postmenopausal women 1. assays do not reflect androgen activity 2. do not correlate sex funx
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testoterone therapy indication
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acquired/hypo sexual desire disorder with exp clinician and informed consent
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goals osteoperosis ment
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1. assess fracture risk 2. prevention of fracture 3. height loss
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stable/incr BMD
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response to therapy in absence of low trauma frac or height loss
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decr BMD
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1. greater than precision of densitometer 2. indicates lack of response to therapy
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biphosphonates
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decr vert/nonvert/hip fractures 1. alendronate 2. risedronate 3. zoledronic acid
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