Sexuality

Dysmenorrhea pain may be caused by [blank_start]contractions[blank_end] of the [blank_start]uterus[blank_end] during the period

The two types of dysmenorrhea are [blank_start]primary[blank_end] and [blank_start]secondary[blank_end].

Secondary Amenorrhea is the [blank_start]absence[blank_end] of menses for [blank_start]3 cycles[blank_end] in a row in women that were having [blank_start]menses[blank_end].

Primary: is when it takes a girl longer than expected to get her first [blank_start]period[blank_end] 1) No period by age [blank_start]14[blank_end] without any [blank_start]secondary[blank_end] sex characteristics 2) Not having a period by age [blank_start]16[blank_end] but they do have [blank_start]secondary[blank_end] sex characteristics Normally menses should start between [blank_start]9-12[blank_end] but can be sooner or later. [blank_start]Before[blank_end] starting menses, you should start seeing [blank_start]secondary[blank_end] sex characteristics such as pubic hair, breast buds, hair under the armpit, and body [blank_start]odor[blank_end].

Amenorrhea is the absence of [blank_start]menses[blank_end] during the [blank_start]reproductive[blank_end] years.

Causes of amenorrhea include: 1) Problems with the [blank_start]ovaries[blank_end] - tumor in ovaries or [blank_start]pituitary gland[blank_end], [blank_start]hormonal[blank_end] imbalance 2) Low amount of body [blank_start]fat[blank_end] - meds, [blank_start]eating[blank_end] disorder [blank_start]Lactation[blank_end]

Diagnosis of Amenorrhea o Blood work to check [blank_start]hormone[blank_end] levels o Scans like [blank_start]CT[blank_end] or MRI to find [blank_start]tumors[blank_end] o History o [blank_start]Pelvic[blank_end] Exam

Treatment for Primary Amenorrhea 1) Administer [blank_start]estrogen[blank_end] [blank_start]orally[blank_end] in order to have enough hormone available to get the period going. 2) Surgical removal of tumor is needed Treatment of Secondary Amenorrhea 1) [blank_start]Oral[blank_end] contraceptives - [blank_start]combination[blank_end] of hormones to keep periods [blank_start]regular[blank_end] 2) Surgical removal if it is a tumor 3) [blank_start]Nutritional[blank_end] counseling if it is a weight issue

Primary Dysmenorrhea is due to an increase in [blank_start]prostaglandin[blank_end] release by the body that have a way of inducing uterine [blank_start]contractions[blank_end].

[blank_start]Primary[blank_end] Dysmenorrhea is usually seen more with younger girls. There is often improvement when they hit their [blank_start]20[blank_end]'s, or when they have a [blank_start]child[blank_end].

Secondary Dysmenorrhea is associated with pelvic [blank_start]infections[blank_end] or [blank_start]pelvic[blank_end] inflammation. Often there are diagnoses of [blank_start]fibroids[blank_end] and [blank_start]endometriosis[blank_end] seen with this.

Treatment for dysmenorrhea includes [blank_start]NSAIDs[blank_end], [blank_start]contraceptives[blank_end], acupuncture, heat, and essential oils. [blank_start]Ibuprofen[blank_end] decreases prostaglandin synthesis.

[blank_start]Dysfunctional[blank_end] Uterine [blank_start]bleeding[blank_end] is a condition that has an abnormal or irregular vaginal bleeding. This includes bleeding [blank_start]longer[blank_end] or for more [blank_start]days[blank_end] than you should.

Dysfunctional uterine bleeding is commonly [blank_start]painless[blank_end]. It is commonly caused by [blank_start]hormonal imbalance[blank_end]. Other causes include fibroids, [blank_start]endometriosis[blank_end], and [blank_start]clotting[blank_end] disorders. Diagnosis is done by pelvic exam and [blank_start]pap smear[blank_end]. Pelvic ultrasound and [blank_start]endometrial[blank_end] biopsy can also be used to diagnose this.

Treatment for dysfunctional uterine bleeding includes [blank_start]oral[blank_end] contraceptives which significantly reduce the amount of bleeding, and regulates [blank_start]irregular[blank_end] periods so that the patient will have periods [blank_start]once[blank_end] a month during [blank_start]1[blank_end] week.

Treatment for dysfunctional uterine bleeding may include giving estrogen or [blank_start]progesterone[blank_end] alone. A [blank_start]D&C[blank_end] may done to clean the wall of the uterus. Endometrial [blank_start]ablation[blank_end] may also be done to destroy the endometrial wall; but this causes [blank_start]infertility[blank_end] and tends to fail after [blank_start]10[blank_end] years. A [blank_start]total[blank_end] hysterectomy is a last resort because it removes the uterus and [blank_start]cervix[blank_end]. After this, the patient will bleed for about [blank_start]2 weeks[blank_end]. Sometimes a [blank_start]JP drain[blank_end] is inserted in the vagina to drain excess fluid.

[blank_start]Premenstrual Syndrome[blank_end] is a condition that involves a variety of symptoms directly associated with the menstrual cycle. These symptoms may be both [blank_start]physical[blank_end] and [blank_start]psychological[blank_end].

The onset of premenstrual syndrome is [blank_start]3-14 days[blank_end] before the [blank_start]start[blank_end] of the period. Symptoms go away when the period [blank_start]starts[blank_end].

Risk factors for premenstrual syndrome include patients with a history of [blank_start]depression[blank_end], [blank_start]high stress[blank_end], poor eating habits including too much [blank_start]caffeine[blank_end], foods high in [blank_start]salt[blank_end], and [blank_start]alcohol[blank_end]. It tends to peak in the [blank_start]20[blank_end]'s and [blank_start]30[blank_end]'s.

The signs and symptoms of a normal period include uterine [blank_start]cramping[blank_end], lower [blank_start]back[blank_end] pain, [blank_start]bloating,[blank_end] and [blank_start]breast[blank_end] tenderness. The signs and symptoms of PMS include normal symptoms with mood swings, [blank_start]fatigue[blank_end], irritability, [blank_start]food[blank_end] craving, and [blank_start]depression[blank_end] that is right before the [blank_start]start[blank_end] of the period.

The best way to diagnose PMS is with the [blank_start]symptom journal[blank_end] . For [blank_start]3 months[blank_end], you record how you [blank_start]feel[blank_end] and what you [blank_start]eat[blank_end]. When your period [blank_start]starts[blank_end], you should go back to normal.