class 2: Sexuality, Reproduction & Menopause Cellular Regulation: HPV/Pap/Cancer Screening

GnRH made in the ,..

hypothalamus

LH

progestereone

FSH

Estrogen

menarche

1st cycle (12.4 yrs)

cycle length

21-34 days (28 days)

menses

menstrual flow 1x monthly

amenorrhea

absence of menstrual cycle

dysmenrrhoea

painful menses

nurisng consideration for amenrrhea

• confrime preganncy status

• pt education

  • reversible (stress,loss,excercise,meds)

nursing consideration for dysmenorrhea

• oral contraceptives

• nsaids

• vitb6 + e

• natural dieuretic

• rest, heat, massage, apcupuncture

nurisng consideration for dysmenorrhea for disease

• laproscopy

• antibiotic

• remoe IUD

toxic shock syndrome

• avoid absorption

• chnage tampons

• hand hygiene

menopause

• fsh goes up

• estrogen goes down

perimenopause

• shorter cycles

• dyspareunia

• hot flashes

• dryness in vagina

• incontience

• urinary frequency and urgency

dyspareunia

painful intercourse

hromone replacement therapy

relief symporoms like hot flasehes, dryness on vagina and sleep disorders

types of HRT

• estrogen progestin therapy

• estrogen therapy

• 
  

• oral prepartion

• trasndermal

drugs for menopasue symptoms

• ssri/snri

• gabapentin

• bremelanotide

contraindications for HRT

pregnancy

hx of endometrical cancer

hx of breast cancer

hx of thromboembolic disease

acute iver disease

CAD

vaginal bleeding

endometresisis

osteoporosis drug first line

bisophosphate - Alondrenoate

osteoporosis drug (other)

SERMs - raloxifene

nurisng care for osteroporosis

• calcium

• vit d

• lifestyle modifcation

sexuaity in adolescene

manage physcial and emptinal aspects of sexuality in order to form intimate relations

sexuality in middle adulthood

cocncerned abput sesxual responses for themselves and partner (communicatr)

sexuality in preganncy

avoid vaginal sex for 6 weeks after birth

get pregannat 4 weeks after birth

sexuaity in middle adulthood

climactric

woman = perimenopause

man = less androgen

sexuality in older adulthood

men - need time ro erection and ejaculation

woman = vaginal lubrication adn elasticity decreases

graffian follice

relases estroen

ovulation

release egg

corpus luteum

release progestroen and luteal phase starst