Elimination, Sexual Health, and Reproductive Assessment

Diseases that can affect our sexual health

Cardiovascular disease

Diabetes

Joint diseases

Autoimmune diseases

Surgeries

Spinal cord injuries

Chronic pain

Mental illness

Medication that affect sexual health

Antihypertensives (beta blockers)

Antidepressants

antihistamines

Antipsychotics

Narcotics

Barbituates

Recreational drugs (Heroin, cocaine, alcohol, marijuana)

Assessment considerations: male

Skin lesions

Itching

Penile discharge

breast changes

Prostrate problems

Assessment considerations: female

Skin lesions

Itching

Vaginal discharge

Perineal discharge

Breast changes

Male reproductive genitalia

Inspect

• penis

• Glans

• Scrotum

• Foreskin

Erectile dysfunction

Emotional concern with partner is sexual relationship

Low testosterone

Medications

Stroke/nerve damage

Atherosclerosis

Performance anxiety

Hypertension

Depression

alcoholism

Smoking

Female reproductive genitalia

Breasts

Vulva

Urinary meatus

Vaginal opening

Clitoris

Labia minora

Labia majora

Mons pubis

Uvula assessment

Inspection

Size

symmetry

shape

color

discharge

foul odor

hair pattern

Changes may indicate problems: sti, bacterial vaginosis

Breast assessment

Inspect

Size

symmetry

shape

Color

skin surface

Changes may indicate problems malignancy or otherwise

Palpation

Breast

Temperature

Elasticity

Tenderness

Palpate nipple

Discharge

Palpate lymph nodes

Breast concerns

Breast edema

• “ Orange peel appearance” Indicates potential malignancy

Inflammatory breast tissue - Resembles infection

Skin dimpling from fibrosis or breast cancer

Gynecomastia