NSG 6330 WOMEN'S HEALTH
LATEST 2022 SOUTH ;UNIVERSITY
What isthe typical onset of Dysmenorrhea?
Within 2 years of menarche
Painful menstruation caused
... [Show More] by excess prostaglandin and leukotriene levels
Primary dysmenorrhea
What Sx occur with primary dysmenorrhea?
Uterine contraction, N/V, and Diarrhea
Painful menstruation caused by an identifiable condition, normally of the uterus or pelvic
Secondary dysmenorrhea
What are some conditionsthat cause secondary dysmenorrhea?
Endometriosis, Adenomyosis, Fibroids, PID, and IUDs
What isthe MC population that suffersfrom Secondary Dysmenorrhea?
Women >25 yo
What isthe MC population that suffersfrom Primary Dysmenorrhea?
Late teens and early 20's
An 18 yo female presents to your clinic with complaints of cramps that radiate to her lower back
and diarrhea. She says that it started when her period started, but has continues for 3 days now.
You preform a PE, and note that everything is normal. Her labs also come back as normal.
Primary dysmenorrhea
NSAIDS --> start 2 days prior to start of menses and continue for 1-3 days
A 27 yo female comes in with complaints of cramps that radiate to her lower back, bloating, and
pain with sex. She statesthat it does not necessarily occur with the first day of her cycle. You
Tx?
is normal, and labs are all normal.
Dx?
Tx?
Secondary Dysmenorrhea
Treat underlying cause if possible, NSAIDS, ifsevere in this case, remove IUD
What isthe average length of time that perimenopause lasts?
3-5 years
By definition, what is menopause?
The last menses
What isthe average age of menopause?
51.5 years old
What isthe average age range most women enter Menopause in?
44-55 yo
What is associated directly with early onset menopause?
Smoking
Premature menopause occurs before the age of what?
40 yo
Which type of estrogen isthe predominant circulating estrogen during Menopause?
Estrone
What isthe MC Vasomotor Sx that menopausal women experience?
When do they most commonly occur (time of day)?
How long does it take for them to cease?
Hot flashes
At night
2-3 years
What level of FSH is diagnostic of Menopause? [Show Less]