ch. 74 gynecologic problems

endometrial (inner uterine) tissue implantation outside the unterine cavity

out of place

unfertile

pain

painful sexual intercourse

excessive and frequent bleeding more than every 21 days

occurs when there is a hormonal imbalance, generally when the ovaries fail to ovulate

decreases progesterone production

without progesterone prolonged estrogen stimuation causes the endometrium to grow past its hormonal support causing disordered shedding of the uterine linging

can be anovulatory and ovulatory

fibroids

removal of the built up uterine lining that stops blood flow to fibroids that are causing excessive bleeding

inflammation of the lower genital tract resulting from a disturbance of the balance of hormones and flora in the vagina and vulva

endodtoxins produced from the bacteria cross the vaginal mucosa to the blood stream via microabrasions from tampon insertion or prolonged use

abrupt onset of fever, headache, flu like symptoms, sever hypotension with fainting

the most common pelvis organ prolapse

can be caused by neuromuscular damage of childbirth, increased intra abdominal pressure related to pregnancy, obesity, or physical exertion, or weakening of the pelvic support due to decreased estrogen

protrusionof the bladder through the vaginal wall

protrusion of the rectum through a weakened vaginal wall

anterior colporrhaphy- anterior repair, tightens the pelvic muscles for better bladder support

-use heat to soothe after surgery

posterior colporrhaphy-posterior repair, reduces rectal bulging

-low fiber diet, no straining, sitz bath

fibroid or myomas-benign slow growing solid tumors of the uterine myometrium (muscle layer)

contained in the uterine wall within the myometrium

protrude into the cavity of the uterus and can cause bleeding and disrupt pregnancy

protrude through the outer surface of the uterine wall and may extend to the broad ligament pressing on other organs

radiologist uses a percutaneous catheter inserted in the to femoral artery to inject polyvinyl alcohol pellets into the uterine artery, this blockage starves the tumor of circulation, allowing it or them to shrink

the removal of the leiomyomas from the uterus

leimyomas

• vag-small
• abdominal-larger than the size of a 16 week preg.

formation of a pouch that is a new duct opening

pedunulated tumors that arise from the mucosa and extend through the opening of the cervical os

cancer of the inner uterine lining

grows slow and increases vag bleeding

most come from squamous cells on the outside of the cervix

procedure in which application of 3% acetic acid solution is applied to the cervix, cervix is examined under magnification with a bright filter light that enhances the visualization of the dysplasia or cancer

thin looped wire electrode that transmits painless electrical current is used to cut away affected tissue.

in response to exposure to estrogen

bilateral salpingooophorectomy (removal of both ovaries and fallopian tubes)