Erectile dDysfunction: dcauses d& dtreatment
• Common das done dages: dreduced dblood dflow dto dpenis
Causes
Medical dcauses: dchange din dblood
dpressure d Non-organic: dincreased
dstressor, dillnesses d Treatment
• Medications dthat dincrease dperfusion dto dpenis d(PDE- d5 dinhibitors)
• Vacuum dpump
• Pineal dimplant
• Managing dstress
Education drelated dto dtreatment dfor dHPV/Cervical dCancer
• Caused dby dHPV
s/s dof dcervical dcancer:
o heavy dbleeding din dlater dstages
o bleeding dafter dsex
o Most dof dthe dtime
dasymptomatic d Bleeding
dbetween dperiods
Preventive dscreening: dPAP dsmear, dsurgical dbiopsy d(gold dstandard) dto
ddetermine d staging
Treatment:
• Early- dablation, dlaser
• Late- dchemotherapy/radiation
Education:
• No dsticking danything dup dthe dvagina d(tampons,
ddouches)
• May dhave dbleeding
• No dsexual dintercourse
• No dtub dbaths
Breast dcancer- dpreventative dscreenings, drisk dfactors, ddiagnostic dtests
Preventative dscreenings
• Mammography
o Recommended dto dstart dscreening dat d45
o Women dover d55 dmay dswitch dto devery d2 dyears
• Breast dself-awareness/self-examinations
o d>90% ddetected dby dpatient
• Clinical dbreast dclinical
, o At dleast devery d3 dyears dfor dwomen din dtheir d20s dand d30s
dand devery dyear dfor d asymptomatic dwomen dat dleast d40 dyears
Risk dold
dFactors
• Increased dage
• Family dhistory
• Early dmenarche, dlate dmenopause
• Lack dof dbreastfeeding
• Postmenopausal dobesity
• Alcohol dconsumption
• Mutations din dBRCA1 dor dBRCA2
Diagnostic dtests
• Lab dassessment: dstudy dof dbreast dmass dtissue dand dlymph dnodes,
dliver denzymes, d calcium, dand dalkaline dphosphatase
• Imaging dassessment:
o Mammogram
d o dUltrasound
d d o dMRI
o Chest dx-ray, dCT dfor dmetastasis
o Breast dbiopsy*
Endometrial dcancer- dsymptoms, drisk dfactors, ddiagnostic dtesting
• Most dcommon dgynecologic dmalignancy
• Cancer dof dinner duterine dlining
• Grows dslowly dbut dvaginal dbleeding dusually dleads dto dprompt
devaluation dand d dtreatment d= dgood dprognosis
• Most dcommonly dassociated dwith dprolonged dexposure dto destrogen
dwithout dits d protective deffects dof dprogesterone
Risk dFactors:
• Women din dreproductive dyears
• Family dHistory
• Diabetes dMellitus
• HTN
• Obesity
• Uterine dpolyps
• Late dmenopause
• Nulliparity d(no dchildbirths)
• Smoking
• Tamoxifen d– dgiven dfor dbreast dcancer
Symptoms:
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