OB Week 6: Reproductive Concerns
1. Amenorrhea: no flow
2. reasons for amenorrhea: pregnancy
anatomic
anterior pituitary disorder
hypo/hyper thyroid
PCOS
type 1 diabetes
medications
drug abuse
contraception
hypogonadotropic
3. management of amenorrhea: counseling and education
prevention
referal
4. Cyclic perimenstrual pain and discomfort (CPPD): dysmenorrhea
PMS
PMDD
,occurs before or after flow begins
can be mild to severe
1-2 days up to 2 weeks
5. CPPD cyclic: mood swings
pelvic pain
6. dysmenorrhea: pain during or shortly before menstrual cycle
lower abdomen, sharp, cramping, dull, ache
radiates to lower back and upper thighs
7. primary dysmenorrhea: associated with ovary cycles
biochemical- from release of prostaglandins during menses
, 8. primary dysmenorrhea treatment: heat
exercise
relaxation techniques
good nutrition 7-10 days before menses
NSAIDs
birth control
9. secondary dysmenorrhea: develops later in life around 25 yo
pelvic pathology-endometriosis, PID, fibroids
10. secondary dysmenorrhea treatment: treating underlying cause
11. premenstrual syndrome PMS: physical and psychosocial symptoms beginning in luteal phase
usually symptom free period
12. signs of PMS: fluid retention
edema in lower extremities
breast tenderness
weight gain
emotional changes
cravings
head/back ache
1. Amenorrhea: no flow
2. reasons for amenorrhea: pregnancy
anatomic
anterior pituitary disorder
hypo/hyper thyroid
PCOS
type 1 diabetes
medications
drug abuse
contraception
hypogonadotropic
3. management of amenorrhea: counseling and education
prevention
referal
4. Cyclic perimenstrual pain and discomfort (CPPD): dysmenorrhea
PMS
PMDD
,occurs before or after flow begins
can be mild to severe
1-2 days up to 2 weeks
5. CPPD cyclic: mood swings
pelvic pain
6. dysmenorrhea: pain during or shortly before menstrual cycle
lower abdomen, sharp, cramping, dull, ache
radiates to lower back and upper thighs
7. primary dysmenorrhea: associated with ovary cycles
biochemical- from release of prostaglandins during menses
, 8. primary dysmenorrhea treatment: heat
exercise
relaxation techniques
good nutrition 7-10 days before menses
NSAIDs
birth control
9. secondary dysmenorrhea: develops later in life around 25 yo
pelvic pathology-endometriosis, PID, fibroids
10. secondary dysmenorrhea treatment: treating underlying cause
11. premenstrual syndrome PMS: physical and psychosocial symptoms beginning in luteal phase
usually symptom free period
12. signs of PMS: fluid retention
edema in lower extremities
breast tenderness
weight gain
emotional changes
cravings
head/back ache
