Health Care > EXAM > NSG 6430 MIDTERM WOMEN’S GYNECOLOGICAL HEALTH STUDY GUIDE (All)

NSG 6430 MIDTERM WOMEN’S GYNECOLOGICAL HEALTH STUDY GUIDE

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NSG 6430 MIDTERM WOMEN’S GYNECOLOGICAL HEALTH STUDY GUIDE • Menstrual Cycle Physiology (from Chapter 5) • Menstrual phase - endometrium becomes very thin d/t low estrogen levels - Hypophysi... s secretes more FSH - FSH stimulates secretion of estrogen and estrogen serves as proliferation signal to the endometrial basal layer - Follicular phase - Follicles secrete as they mature, increasing amts of estrogen which thickens the new functional layer of endometrium in uterus -simulates crypts in cervix to produce fertile cervical mucus -end of phase= ovulation • Menstrual Cycle Pain and Premenstrual Conditions - Dysmenorrhea- originates from uterine cx during menstrual phase, triggers prostaglandin production and release. This increases contraction of uterus, reduces uterine blood flow, and causes ischemia/pain ▪ Risk factors- age <30, smoking, bmi <20, early menarche, hx pelvic surgery, depression ▪ Primary- 6-12 months after menarche, continues 8-72 hours into cycle ▪ Secondary- caused by pelvic pathology, pain increases over time, occurs before, during, and after menses ▪ Adenomysis, IBS, endometriosis, leiomyoma, interstitial cystitis [Show More]

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