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Reproductive System

Reproductive System. Amy McDonald MSN, RN. Female External Organs. Female Internal Organs. Female Reproductive Hormones. Male Reproductive System. Menstruation and Menopause. Menarche Menses Menopause Climacteric Biological changes with menopause Artificial menopause

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Reproductive System

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  1. Reproductive System Amy McDonald MSN, RN

  2. Female External Organs

  3. Female Internal Organs

  4. Female Reproductive Hormones

  5. Male Reproductive System

  6. Menstruation and Menopause • Menarche • Menses • Menopause • Climacteric • Biological changes with menopause • Artificial menopause • “hot flashes” – lack of estrogen, inc. other hormones, = surge & dilation of bld vessels

  7. HRT • Risks • Benefits • Contraindications • Estrogen dependent cancer • Undx abnormal vaginal bld • DVT • Liver disease • Hx breast ca • Heart disease

  8. Male Menopause

  9. Testosterone HCG Testosterone polypeptide structure vs. HCG polypeptide structure

  10. Pap Smear • No sexual intercourse for at least 24 hours before test

  11. Colposcopy

  12. Laparoscopy

  13. Laparoscopy vs. Laparotomy

  14. Hysteroscopy

  15. Cervical Exam

  16. Mammogram

  17. Breast Biopsy

  18. Needle Biopsy of Prostate

  19. Who’s at Risk? • Just about all of us

  20. Syphilis • Primary- chancre, painless, weeping • Secondary- 6 wks to 6 mo. Flu-like sx • Latency- shows on bld test? Maybe • Tertiary- CNS involvement, balance, gait • VDRL • PCN

  21. Syphilis

  22. Syphilis

  23. Syphilis

  24. Syphilis

  25. Secondary Syphilis

  26. Congenital Syphilis

  27. Gonorrhea • “the clap” • Urethral culture • Gram stain (immediate but not as accurate, usually id’s bacteria causing clap • Tx with antibiotics • Women- can lead to infertility • Men- can lead to infertility (epididymitis) • Sexual partners need to be treated!!!

  28. Herpes • No cure • #1 nsg dx ~ pain

  29. Genital Warts • Strongly assoc. with dysplasia and cervical cancer • May be “silent” for women

  30. HPV

  31. HPV

  32. HPV

  33. HPV

  34. Vaginitis • What’s the number one nursing dx?

  35. Trichomonas Vaginalis • Treat sexual partners • No alcohol Flagyl (severe N/V, liver damage)

  36. Pelvic Inflammatory Disease • Can cause sterility by scarring enough to permanently block fallopian tubes • Lower abd pain • Vaginal d/c • Abnormal vaginal bld • Dysuria • Intrauterine devices contraindicated

  37. Intrauterine Devices (IUD) • Progesterone thickens mucous of cervix

  38. Toxic Shock Syndrome • Uncommon • Assoc with use of tampons • Wash hands before insertion of tampons

  39. Bartholinitis • What is the function of the Bartholin glands?

  40. Uterine Fibroids • Menorrhagia

  41. More Fibroids

  42. Uterine Prolapse

  43. Endometriosis • Can result in infertility • Danazol ~ side effects ~ hot flashes

  44. Cystocele

  45. Rectocele

  46. Vaginal Fistula • Leakage of urine, flatulence, or feces into vagina

  47. Ectopic Pregnancy

  48. Abdominal Pregnancy

  49. Tubal Ligation

  50. Tubal Ligation

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