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definition of primary amenorrhea no menses by age 16 or no menses 4 years after thelarche
thelarche breast development
secondary amenorrhea no menses for 3 mo after it started
isolated premature thelarche breast development without pubic/axillary hair development
delayed thelarche no breast development by age 13
laser or cold-knife conization of the cervix are at a more significant risk of late bleeding usually occurs 7 to 14 days after the procedure
cervix is derived from fusion of paramesonephric ducts
clitoris is derived from genital tubercle
what differentiates the paramesonephric ducts from the mesonephric ducts? MIF (mullerian inhibiting factor)
what structure forms the male sexual organs? mesonephric ducts
Grade I stress incontinence only present with severe stress, including laughing, coughing, or sneezing
Grade II stress incontinence present with moderate stress, including walking up and down stairs or rapid changes in position
Grade III stress incontinence present with mild stress, including rising from a seated to a standing position. The patient is continent when supine.
Urge incontinence detrusor muscle instability, and leakage occurs secondary to involuntary and/or uninhibited bladder contractions
Tx for pts presenting with recurrent infection of the Bartholin gland should have marsupialization. The entire abscess and cyst is removed with the space sutured open to allow epithelialization to occur, eliminating the space for recurrent infections to form.
What is the most common cause of malignant transformation in Vulvar intraepithelial neoplasia (VIN) human papillomavirus (HPV)
What accounts for about 85 to 90% of vulvar cancers? Squamous cell carcinoma
clear cell adenocarcinoma of the vagina is highly associated with what? exposure to diethylstilbestrol (DES) exposure in utero
Lichen sclerosis occurs in whom? How to tx? postmenopausal women who no longer produce estrogen --> atrophic changes in epith. TOC is a topical corticosteroid cream once daily plus a topical 2% testosterone cream once daily, which helps to build up the atrophic epithelium, for at least 6 weeks
What is hidradenitis suppurativa and how to tx? abscess formation and superinfection of apocrine sweat glands and cysts; occurs in axillary & genital regions; chronic, progressive disease. I&D for abscesses and abx for cellulitis.
Fox-Fordyce disease collection of pruritic, multiple microcysts also caused by occlusion of the apocrine glands
2-cm mass at the 4 o'clock position on the labia majora, mass is nontender and no erythema or drainage is noted. How to tx? Bartholin cyst. For cysts that are less than 2 cm and asymptomatic, the best action is to do nothing and advise the patient to take warm sitz baths; the cysts usually resolve on their own.
Looks like a mass at the 8 o'clock position on the labia majora with pain tenderness and erythema, with area of fluctuance Bartholin gland abscess is usually with incision and drainage with insertion of a Word catheter.
How to tx recurrent Bartholin cysts? marsupialization - excision of the entire cyst and abscess with suturing open of the empty space and allowing re-epithelialization to occur.
When to tx Bartholin cysts with abx? only if cellulitis or gonorrhea infection, not with just abscess
Most common organism causing Bacterial Vaginosis Gardnerella vaginalis
most important factor in the prognosis of endometrial cancer histologic grade of endometrial cancer is the most important prognostic factor for endometrial carcinoma
How to tx endometrial Complex hyperplasia progesterone (oral Provera or IM Depo-Provera) in doses high enough to inhibit and eventually reverse the process of hyperplasia due to unopposed estrogenic stimulation.
How to tx endometrial atypical hyperplasia Hysterectomy is the treatment of choice because of the high likelihood of progression to malignancy.
What is the tx of choice for endometrial CA? Total abdominal hysterectomy (TAH) with bilateral salpingo-oophorectomy (BSO) and lymph node dissection
What is the most common indication for hysterectomy? Uterine leiomyomas are the most common indication for hysterectomy, responsible for approximately of 30% of procedures performed
T-shaped uterine cavity with or without dilated horns diethylstilbestrol exposure in utero
small septate indentation present at the uterine fundus arcuate uterus
uterine septum which is located at the fundus Partial bicornuate uterus
midline fusion of the Müllerian ducts is arrested, either completely or incompletely Didelphys uterus
uterine septum that extends from the fundus to the cervical os is present bicornuate uterus
Created by: christinapham



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