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-AKA impotence, is the inability to achieve or maintain
an erect penis
Erectile dysfunction -Tx with meds(oral or injection),Urethral suppository,
penile implant/pumps or surgery if needed
-Therapy for associated disorders (alcoholism, diabetes)
-Birth control
-Different methods (oral, implants, intrauterine devices,
Contraception
spermicide, condoms, or diaphragm)
-Some methods may require signed informed consent
-The inability to conceive a child
-Factors in men: abnormalities of sperm, abnormal
erections or ejaculations, or abnormalities of the
seminal fluid
-Factors in women: ovulation disorders, abnormalities of
the Fallopian tubes or cervix
Infertility -There are diagnostic tests to determine the probable
cause of infertility.
-Options for infertility include: medications, surgical
procedures, and therapeutic insemination, in vitro
fertilization, use of a surrogate, embryo hosts. Adoption
may also be an option.
-As the nurse, be sure to provide support to the couple.
, -Women 45 and older
-Permanent physiologic cessation of menses associated
with declining ovarian function
-Most women stop menstruating between 48 and 55
years of age
-Increase in body fat and intra-abdominal deposition of
body fat
-Total and LDL cholesterol increase
-Hot flashes
Menopause
-Vaginal pH increases during menopause, predisposing
women to bacterial infections and atrophic vaginitis.
Discharge, itching, and vulvar burning may result.
-Tx with hormone therapy or alternative therapies such
as Vitals B6 and Vit E, natural estrogens and progestins,
black cohosh, ginseng, dongquai, soy products, and
several other herbal preparations,reflexology,
aromatherapy, yoga, hypnotherapy, breathing exercises,
and meditation
-Premenstrual Syndrome (PMS)
-Dysmenorrhea (painful menstruation)
-Amenorrhea (absence of menstrual flow)
Menstrual dysfunction -Menorrhagia (excessive bleeding)
-Oligomenorrhea (scanty flow)
-Irregular bleeding, or bleeding between cycles or
unrelated to cycles
-Highest in homosexual or bisexual men, heterosexual
partners of person with AIDS, IV drug users,
AIDS
hemophiliacs, and fetuses of women at risk or HIV
positive
, - 3 stages:
1. painless cancre disappears w/in 4 wks
2. copper colored rash on the palms and soles; low
grade fever
3. cardiac and CNS dysfunction
-Dx by VDRL, RPR, Darkfield microscopy
-Transmitted by mucous membrane or skin; congenital,
Syphilis kissing, sexual contact.
- Incubation 10-90 days
- Prevent with condoms
-Tx: Stage 1 (penicillin G IM) Stage 2 (PCN clergy-
erythromycin 10-15 days/ Ceftriaxone & tetracyclines for
non-pregnant women) Stage 3 (Retest for cure,
Abstinence from sexual activity until tx is complete)
-Reportable disease
-Thick discharge from vagina or urethra
-Frequently asymptomatic in females (s/s: (F) purulent
discharge, dysuria, & dyspareunia (painful intercourse))
-S/S (M): painful urination and a yellow- green
discharge
Gonorrhea
-Dx: Culture of discharge
-Transmitted by mucous membranes or skin, congenital,
vaginal, urogenital, anogenital, sexual activity
-Incubation: 2-7 days
-Tx: meds
-S/S: painful vesicular genital lesions, difficulty voiding,
recurrence in times of stress, infection, menses
-Dx: direct exam of cells, HSV antibodies
-Transmitted: mucous membranes or skin, congenital,
Genital herpes
can live on objects such as towels
-Incubation: 3-14 days
-Tx: meds, emotional support, site baths, local meds,
notification of contacts, monitor Pap smears
-S/S (M): dysuria, frequent urination, watery discharge
-S/S (F): may be asymptomatic, thick discharge with
acrid odor, pelvic pain, yellow colored discharge,
painful menses
Chlamydia
-Dx: direct exam of cells, enzyme linked ELISA
-Transmission: mucous membrane, sexual contact
-Incubation: 1-3 wks
-Tx: notify contacts, may cause sterility, meds