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-branch of medicine that deals with the health maintenance and the diseases of women, primarily of the reproductive organs |
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-the inner layer of the uterine wall where the fertilized egg implants |
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-the thick middle layer of the uterine wall made up of smooth muscle fibers |
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-the serosal peritoneal membrane that forms the outermost layer of the uterine wall |
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-the onset of menses, usually occurring between ages 10 and 14. |
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Estrogen and progesterone |
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-female sex hormones -control the ovarian-menstrual cycle, pregnancy and lactation. |
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Proliferative phase of the menstrual cycle |
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-first 2 weeks of the menstrual cycle -dominated by estrogen -endometrium thickens, becomes engorged with blood -in a response to a surge of LH, at approximately 14 days ovulation takes place |
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-the release of an egg from the ovary |
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-phase immediately surrounding ovulation -uterine vascularity increases in anticipation of a fertilized egg |
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-if fertilization does not occur, estrogen and progesterone levels fall -endometrium becomes pale and small blood vessels rupture |
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-ischemic endometrium is shed along with a discharge of blood, mucus and cellular debris -flow lasts for 3-5 days, average blood loss of about 50 mL |
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-variety of signs and symptoms -wight gain, irritability, food cravings all associated with the changing hormonal levels that preceded menstruation |
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-the cessation of menses and ovarian function due to decreased secretion of estrogen |
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-woman's periods stopped because of surgical removal of her uterus or ovaries or both -usually requires hormone replacement therapy |
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-painful sexual intercourse |
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-pelvic inflammatory disease -acute infection of the reproductive organs that can be caused by a bacterium, virus or fungus -most common cause of abdominal pain in women during child bearing years -most common causes of PID; *gonorrhea *chlamydia *rarely streptococcus or streptococcus bacteria Predisposing factors *multiple sexual partners *hx of PID *recent gyno procedure *IUD -could cause infertility -could lead to sepsis if not treated -pt could have foul-smelling vaginal discharge, yellow in color, and irregular menses / midcycle bleeding -palpation yields moderate to severe pain, in severe cases rebound tenderness. |
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-when ruptured, small amount of blood is spilled into the abdomen which irritates the peritoneum causing abdominal pain and rebound tenderness -usually complain of unilateral pain moderate to severe which may radiate to the back |
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-infection of the urinary bladder -bacteria enter urinary tract through urethra -if untreated can progress to kidneys -may cause pain, urinary infrequency, pain or burning with urination and low-grade fever, urine may be blood tinged |
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-midcycle abdominal pain -due to follical rupture or bleeding with ovulation -accompanied by midcycle spotting |
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-infection of the endometrium -lower abdominal pain, bloody, foul-smelling dishcarge and fever (101 to 104). -symptoms usually appear 48-72 hrs after gynecological procedure or miscarriage -complications can lead to sterility, spesis or death |
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-condition in which endometrial tissue grows outside the uterus -found in the abdomen or pelvis -tissue respond to hormonal changes associated with menstrual cycle, thus bleeds in a cyclic manner -usually seen in women 30-40 y/o -dull cramping pelvic pain, usually related to menstruation, dyspareunia and abdominal uterine bleeding |
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-implantation of a developing fetus outside of the uterus, often in a fallopian tube. -tube can rupture, causing massive hemorrhage -severe unilateral abdominal pain, may radiate to shoulder of affected side -late or missed period and occasionally vaginal bleeding |
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-excessive menstrual flow |
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Nontraumatic vaginal bleeding |
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-most common is miscarriage -others include cancerous lesions, PID or onset of labor |
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