NURS 364 Lecture Notes - Lecture 6: Pelvic Inflammatory Disease, Premenstrual Dysphoric Disorder, Dysfunctional Uterine Bleeding

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Alterations of the reproductive systems, including sexually transmitted infections. Secondary sex characteristics have not appeared in girls by age 13 in boys by age 14. Sexual maturation before age 6 - 7 in girls age 9 in. Primary --- dysmenorrhea--- literally just painful periods. Painful menstruation associated with prostaglandin release in ovulatory cycles. Related to the duration and amount of menstrual flow. Secondary dysmenorrhea--- linked to something else not just painful periods. Can occur any time in the menstrual cycle. Primary: absence of menstruation by age 14 (gymnasts or turner"s syndrome) Absence of menstruation for a time equivalent to three or more cycles or 6 months in women who have previously menstruated. Dramatic weight loss--- anorexia or even a lot of exercise. Polycystic ovarian syndrome--- leading androgen problem in women. Elevated levels of androgens (unbound levels) --- females have male like characteristics testosterone. United states--- egg never ovulates and leads to a series of cysts in the ovaries.

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