NURS 3334 Lecture Notes - Lecture 30: Semen Analysis, Mastectomy, Back Pain
Document Summary
Women"s (ealth )ssues, reproductive cancers, )nfertility and menstrual disorders. Breast cancer: many risk factors identified-many women. Radical mastectomy (rare) removes entire breast, axillary nodes, pectoral muscles. Impaired motility: uterine factors, tumors /adhesions, endometritis, malformations, vaginal cervical factors, amt/character of mucous, environ. too acidic, sperm antibodies, contributing causes: chronic/acute disease, stress, obesity/ anorexia, infection, teratogens, male: test first! Insufficient number of sperm: sperm abnormalities, abnormal seminal fluid. Inefficient deposition of sperm near cervix: common causes of these problems, hormonal, elevated scrotal temps, acute/ chronic illness. In vitro fertilization (ivf) embryo transfer: 97% of art: ova removed and mixed with prepared sperm, 2 days later 2-5 embryos placed in uterus, progesterone given to increase endometrial receptivity, may result in multifetal pregnancy, excess embryos frozen. Polycystic ovarian syndrome (pcos: complex endocrine disorder of ovarian function, no clear etiology, signs and symptoms: menstrual dysfunction, hirsuitism, obesity, infertility, maybe insulin resistant, diagnosis four fold: history, physical exam, labs and imaging, clinical therapy goals, 1.
