Female Reproductive Review
Disorder Risks S/S Diagnosis Med Treatment Meds Surgery
Breast Cancer -Age is the #1 cause -New mass/lumps -Mammograms -Tamoxifen -Surgery -Breast Conservation
-Increased periods -Painless -MRI -Chemo (lumpectomy)
Self exam -Starting period at early -Change in breast shape -Biopsy -Radiation -Mastectomy
age -Skin/nipple changes -Ultra Sound -Antiestrogen Therapy -Lymph node removal
-Late menopause
-No pregnancies
-Known genetic
mutations
Dysmenorrhea -Smoking -Abd cramping -Based on S/S -NSAIDs -TEN’s
-Pelvic pathology -HA, N/V -Complaints -1-2 days prior to onset -Herbal Preps
“pain” (endometriosis) -Cyclic and times to the -Combined OC’s -Heat
Bad periods! -Western Diet menstrual cycle - -PT
-Dietary Preps
Endometriosis -Hereditary link: 1st -Dysmenorrhea -Laparoscopy -Oral contraceptives is -Surgery -Laparoscopy
degree relative -Excessive bleeding -Biopsy the #1 choice -Medications -Hysterectomy for
Hereditary Monozygotic twins during period -GnRH agonists extreme cases
OC #1 choice -Bleeding disorders -Pain during intercourse - Aromatase inhibitors
-Infertility
Menopause -Ages 50-51 -Hot flashes -Based on physical s/s -Estrogen
-R/T decreased estrogen -Night sweats -SSRI’s
Black Cohosh -Vaginal atrophy -Black cohosh
-Urinary dysfunction
-Sleep disturbances
-Feeling of depression
-Forgetful
Fibroids -African American -Many Asymptomatic -Pelvic exam -GnRH agonists -Hormone therapy -Hysterectomy
(Uterine leiomyomas) -Older than 30 -Excessive vaginal -Transabdominal -Surgery -Myomectomy:
Anemia= blood -Never been pregnant bleeding Ultrasound maintains fertility!
-Over production of -Pelvic pressure (tumor) -Transvaginal Ultrasound -Uterine artery
transfusions
estrogen and embolization
progesterone
Ovarian cancer -Estrogen -Bloating -Biochemical marker (CA -IV chemo -Chemo -Removal of mass,
-Advanced age (70s) -Pelvic pain 125) -Intraperitoneal chemo -Surgery uterus, orders, and
CA125 -Infertility meds -Abd pain -Pelvic ultrasonography fallopian tubes
-Family hx of ovarian, -Early satiety (problems or CT scan
breast, or colon cancer eating) -Surgical removal of
-Urinary urgency or mass and biopsy
frequency
-Ascites: late stages
Uterine cancer -Post menopausal(55- -Vaginal bleeding (esp. if -Biopsy -Surgery -Hysterectomy
65) not having a -Pelvic ultrasound -Chemo
(endometrial) -Unopposed estrogen hysterectomy and post -Surgical dilation and -Radiation
Disorder Risks S/S Diagnosis Med Treatment Meds Surgery
Breast Cancer -Age is the #1 cause -New mass/lumps -Mammograms -Tamoxifen -Surgery -Breast Conservation
-Increased periods -Painless -MRI -Chemo (lumpectomy)
Self exam -Starting period at early -Change in breast shape -Biopsy -Radiation -Mastectomy
age -Skin/nipple changes -Ultra Sound -Antiestrogen Therapy -Lymph node removal
-Late menopause
-No pregnancies
-Known genetic
mutations
Dysmenorrhea -Smoking -Abd cramping -Based on S/S -NSAIDs -TEN’s
-Pelvic pathology -HA, N/V -Complaints -1-2 days prior to onset -Herbal Preps
“pain” (endometriosis) -Cyclic and times to the -Combined OC’s -Heat
Bad periods! -Western Diet menstrual cycle - -PT
-Dietary Preps
Endometriosis -Hereditary link: 1st -Dysmenorrhea -Laparoscopy -Oral contraceptives is -Surgery -Laparoscopy
degree relative -Excessive bleeding -Biopsy the #1 choice -Medications -Hysterectomy for
Hereditary Monozygotic twins during period -GnRH agonists extreme cases
OC #1 choice -Bleeding disorders -Pain during intercourse - Aromatase inhibitors
-Infertility
Menopause -Ages 50-51 -Hot flashes -Based on physical s/s -Estrogen
-R/T decreased estrogen -Night sweats -SSRI’s
Black Cohosh -Vaginal atrophy -Black cohosh
-Urinary dysfunction
-Sleep disturbances
-Feeling of depression
-Forgetful
Fibroids -African American -Many Asymptomatic -Pelvic exam -GnRH agonists -Hormone therapy -Hysterectomy
(Uterine leiomyomas) -Older than 30 -Excessive vaginal -Transabdominal -Surgery -Myomectomy:
Anemia= blood -Never been pregnant bleeding Ultrasound maintains fertility!
-Over production of -Pelvic pressure (tumor) -Transvaginal Ultrasound -Uterine artery
transfusions
estrogen and embolization
progesterone
Ovarian cancer -Estrogen -Bloating -Biochemical marker (CA -IV chemo -Chemo -Removal of mass,
-Advanced age (70s) -Pelvic pain 125) -Intraperitoneal chemo -Surgery uterus, orders, and
CA125 -Infertility meds -Abd pain -Pelvic ultrasonography fallopian tubes
-Family hx of ovarian, -Early satiety (problems or CT scan
breast, or colon cancer eating) -Surgical removal of
-Urinary urgency or mass and biopsy
frequency
-Ascites: late stages
Uterine cancer -Post menopausal(55- -Vaginal bleeding (esp. if -Biopsy -Surgery -Hysterectomy
65) not having a -Pelvic ultrasound -Chemo
(endometrial) -Unopposed estrogen hysterectomy and post -Surgical dilation and -Radiation
