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Reproductive Disease
| Symptoms | Diseases | How to Diagnose | Treatment |
|---|---|---|---|
| Inability to conceive after 1 year of trying to have a baby | Infertility | Female: History/exam. Labs, x-rays, endoscopic eval of the reproductive system Male: Sperm count, hormone levels | Depends on cause. Treat underlying cause. In vitro. |
| May be asymptomatic, Inflammation, purulent discharge, pain, urinary frequency | Gonorrhea | Bacterial cultures. Swab/urine test. Also test for Chlamydia | Antibiotics. Ceftriaxone |
| May be asymptomatic. Itching, burning, discharge, painful pee | Chlamydia | Bacterial cultures. Swab/urine test. Also test for Gonorrhea | Antibiotics. Doxycycline, azithromycin |
| Red, ulcerated, painless lesion at infection. Highly contagious (3-12 weeks) Rash (palms/soles), headache, malaise, GI upset, sore throat, fever, hair loss, brittle nails (3-6 months) Life-threatening damage caused to heart, nervous system and others | Syphilis | Blood test (RPR) | Penicillin |
| Painful lesions at site of contact. Multiple vesicles that turn into ulcerations | Genital Herpes | Exam, culture, biopsy, antibody testing | Antivirals. Won't cure, just shorten duration. Ice pack/baking soda |
| Genital warts. High-risk strains cause cervical cancer | HPV | Exam for warts and pap test for cancer | Remove warts by topicals, laser, cryosurgery, etc. |
| Enlarged, hard, tender epididymis. Waddle gait, blood in semen, discharge | Epididymitis | Urethral swab/culture. Ultrasound, urinalysis/culture | Antibiotics, antimicrobial therapy. Treat underlying cause. Support/elevation, cool compress. |
| Mostly asymptomatic. Urinary obstruction, dysuria, difficulty voiding, urinary frequency, low back pain, urinary retention, hematuria, bone pain, wt. loss, lethargy. | Prostate Cancer | Digital rectal exam. Biopsy, CT, ultrasound, lab work, PSA | Surgery, block testosterone, radiation/chemo |
| Smooth/firm/painless mass in the testicles. May see breast enlargement/tenderness | Testicular Cancer | Exam, ultrasound, CT, biopsy | Surgery, radiation/chemo |
| Aching, spasmodic, cramping pains in lower abdomen that radiates to thighs, back, genitalia. Headache, nausea, diarrhea, fatigue, irritability, dizziness/fainting. | Dysmenorrhea | History/exam. Cervical culture, abdominal ultrasound | Treat underlying cause. Analgesics, NSAIDs, aspirin, heat, oral birth control. Whole grains, legumes, fruit/veggies, nuts. Avoid sugars, alcohol caffeine, dairy, salt. |
| May be asymptomatic. Large ones cause pain, dyspareunia. Seek medical attention for fever, vomiting, faintness/dizziness. | Ovarian Cysts/tumors | Exam, ultrasound, CT | Watchful monitoring. Surgery may be needed |
| Dysmenorrhea, low-back/vaginal pain. Dyspareunia, dysuria, painful poop. Pain at location of displaced tissue. | Endometriosis | Exam, laparoscopy to see displaced endometrium | Pain meds, hormone therapy, birth control pills, laparoscopy to destroy displaced endometrium. |
| Urinary urgency, pelvic pain, abdominal pressure/fullness, bloating, indigestion, nausea, loss of appetite, lack of energy, low back pain | Ovarian cancer | History/exam. Ultrasound, CT, laparoscopy. | Surgery, chemo |
| Breast changes (lumps, thickness, dimpling/swelling), skin irritation, distortion, retraction or scaliness of nipple, discharge, pain, tenderness, redness, enlarged lymph nodes. | Carcinoma of the Breast | Month BSE, mammography/ultrasound | Surgery, radiation/chemo, hormonal therapy |
| Pink/brown discharge precedes cramping and increased vaginal bleeding | Spontaneous Abortion | Pelvic exam, lab studies, expelled uterine contents | D&C |
| Abdominal pain/tenderness, vaginal bleeding. May have intra-abdominal bleeding | Ectopic Pregnancy | Pelvic exam, ultrasound, serum pregnancy test | Surgery |
| Blood-tinged flow from vagina with uterine contraction, cervical dilation/effacement. Amniotic fluid flowing from vagina | Premature labor/Premature rupture of membranes | Ultrasound, Electronic fetal monitering | >36 weeks = delivery <36 weeks = delay delivery/close monitoring |