female reproductive

benign growth consisting of smooth muscle & fibrous CT, most common tumor AKA fibroid tumor

• P&E-stimulated by Estrogen, different sizes and either single or multiple, growth stops during preg. & shrink during & after menopause, excessive bleeding
• can occur: subserous(below serous membrane), intramural(w/i wall), submucosal(below mucus membrane)

• Assess:Menorrhagia, feelin of pressure, dysmenorrhea, anemia, malaise
• detected durin pelvis exam, sonogram

• medical & surgical manag.:D&C 2 determine cause or control bleeding
• myectomy-surgical removal- thru abdominl incision or a laparoscope 4 ppl who want to have children
• hysterectomy- when symptoms bad, & dont want more kids

Nurse manag.: help w/ exam, provides info, explanations, help w/ safe recovery

• cervical- affects lowest portion of uterus
• endometrial- affects linning of uterus (fudus & corpus), common in postmenopausal woman

P&E- born 2 mother treated w/ diethylstilbesterol while preg., havin sex young, or never having sex, many sex partners or sex w/ someone dat has many sex partners or penile condyloma, havin genital infection (HPV), havin chronic cervicitis from uterine prolapse, hx of smokin, had pelvic radiation, after 50 y/o, obesity

• Assess: spotting when intrcourse or douchin, Bleeding, pain, pressure on bladder or bowel, general wasting
• DX- endocervical aspiration, pap, biopsy

Medical & surgical manag.- Hysterectomy, external & internal radiation therapy, chemo, uterus removed thru abd. ( radical hysterectomy) & vag.(lowers complications, recovery time, cost)

Nurse: inform pt bout vaccine, to have exams reg., emotional support, option of tx

pt teaching- take rx meds, inform if adverse effects, avoid heavy lifting, sex, douch until permited, ambulate w/ assistance, avoid sitting 4 long time, clean site, watch 4 signs of fever, redness, swellin, pain, drainage, vag. d/c & bleedin, odor, pain in chest, abd. legs, drink plenty of fluids to avoid constipation

cyst a membrane sac filled cells

• P&E- unknown, endocrine dysfunction implicated, follicular cyst develope when ripenin ovum fails to b released or when corlus luteum fails to regress after ovulation & keep producing progesteron, can be reason 4 infertility & can become malignant
• Chocolate cyst from endometrium
• Assess: pressure of lower abd. backache, menstral irreg. & pain tht could b mistaken 4 appendicities, urethral stones, if influenced w/ hypothalamic, piturity, adrenal hormones could cause hirsutism(growth of facial hair)atrophy of breast, sterility
• detected by pap, ultrasonography & laparoscopy 2 check size,

Medical & surgical manag.- no tx, oral contraceptive, if cyst ruptures a oophorectomy(removal of ovary), oophorocystectomy(removal of cystic tissue), salping-oophorectomy(removal of ovary & follopian tube)

nurse manag.- relieving menstral discomfort, referrals 2 support groups(infertility),surgery prep. assist w/ ambulation, inserting rectal tube, abd. binder, inform bout still risk 4 uterine cancer

from ovarian cyst, hereditary, the more we ovulate in lifetime the higher risk 4 cancer, Hx of other cancers increase risk,

assess: lower abd. pain, frequent urination & urgency, acites, wt loss, bad pain, GI symptoms, mass felt durin exam, labs, ultrasound & doppler,

Med. & surg. mang.- recommened to have 2 full-time preg. followed by breast feeding & usin oral contraceptives 4 more than 5 yrs, oooharectomy 4 pt w/ family hx after 35y/o, removal & HRT rx, chemo after surgery or radiation therapy

rare, mostly after 40yrs, bigger risk when HPV & STI, when moms were given DES in preg., upper posterior of vag. most affected

Assess- bleedin, dyspareunia, confirmed by biopsy, & visual exam

Med. & surg manag- laser photovaporation but partial or total vaginectomy possible, radiation therapy (complications- fistulas & bleeding)

nurse manag- keep pt comfortable, change clothes & sheets reg., advise pt to tell daughters to have exam b/c of DES, inform to use lube when havin sex, using foreplay, to take slower pace when havin sex

curable if early DX, HPV & herpes 2 increases risk,happens in clit, labia majora & minora & bartholin glands, slow growing but could spread easily spread to suroundin areas

Assess- pruritus, genital burnin, bloody d/c, enlarge lymph nodes, swellin, ulcerations, pain, masses

med & surg manag- vulvectomy w/ or w/o removal of lymph nodes (radical vulvectomy), laser photovaporation if lesion >3mm, when not operable wet dressin & perineal irrigation w/ deoderizor, narcotics