OBGYN

GYNAECOLOGICAL ASSESSMENT GYNAECOLOGICAL ASSESSMENT Reproduction and sexual issues are often considered extremely personal and private. Initiate rapport and develop trust with the client from the initial interaction in order to elicit such information. Be professional, and non judgmental Begin with less sensitive information and progress to sensitive issues. GYNAECOLOGICAL ASSESSMENT The gynecological assessment is divided into three; Health history Physical examinatio...

VAGINAL CANCER  Vaginal cancer refers to malignant cancer of the vagina. It is one of the rarest types of cancer affecting the female reproductive system  It may be primary or secondary.  Primary vaginal cancer arises for the vaginal tissues (squamous epithelium, glandular cells, underlying vaginal wall tissues).  Secondary vaginal cancers usually occur as a result of spread of cancers from another part of the body, such as the cervix, uterus, vulva, bladder, bowel or other nearb...

VULVAR CANCER Vulvar cancer can start in any part of the external female sex organs (genitals). It most commonly develops in the labia majora, labia minora and the perineum. Less often, it involves the clitoris, mons pubis or Bartholin glands. About 90% of vulvar cancers are squamous cell carcinomas; about 5% are melanomas. VULVAR CANCER Vulvar cancer may spread: By direct extension (eg, into the urethra, bladder, vagina, perineum, anus, or rectum) Through the bloodstr...

ENDOMETRIAL CANCER: It is a cancer that arises from the endometrium, hence its an adenocarcinoma It is a gynecological malignancy associated with low mortality rate and approximately 75% survival rate. Common in women aged between 50 and 70 years ENDOMETRIAL CANCER: Predisposing factors 1. Hyperestrogenism – this occurs with; • Obesity – this increases endogenous estrogen production • Early menarche • Late menopause • Anovulation • Nulliparous • Estrogen repl...

• Fibroids are benign tumors arising from the uterine myometrium • They are also referred to as myomas, fibromyoma, leiomyoma • Usually develop slowly in women between the ages of 25 and 40 • Rarely become malignant • The growth of fibroids is stimulated by ovarian hormones especially estrogen • Tend to disappear after menopause • May be asymptomatic or symptomatic • Common in African women that white • Incidence is high in the nulliparous aged between 35-50 years. FI...

OVARIAN CANCER  Malignant ovarian cancer is a leading cause death among the reproductive malignancies, mainly because of late detection.  No early screening mechanism is available at present.  However, 6-monthly pelvic examination with transvaginal ultrasound may aid early detection, especially in case of family history of breast or ovarian cancer.  The cancer may be primary or as a result of metastasis of other cancers. Its common in women between 50 and 59 years and the...

BENIGN OVARIAN TUMORS Benign ovarian tumors are either solid or cystic. They may arise from the ovum, graafian follicle, corpus luteum or ovarian epithelium They are often asymptomatic until they are large enough to cause pressure in the pelvis The cause is unknown and can become malignant BENIGN OVARIAN TUMORS: Clinical Features 1.Symptoms due to pressure on the pelvic organs; - Backache - Constipation and anorexia - Urinary frequency - A full feeling in the abdomen - Vague/dull p...

BENIGN BREAST TUMORS The benign breast disorders are; Fibroadenoma Intraductal papilloma Ductal ectasia Fibrocystic breasts BENIGN BREAST TUMORS 1. FIBROADENOMA • Fibroadenoma is a benign mass of mammary glands connective tissue • Fibroadenoma is a common cause of breast lumps in women between 15 – 25 years • The key feature is a breast lump with the following characteristics: - Small about 1-3 cm in diameter - Round, solid and firm - Non tender and painless - W...

MENOPAUSE Menopause is the transition period in a woman’s life when the ovaries stop producing, ovum, estrogen and progesterone; and menstruation becomes less frequent and eventually stops. Menopause is clinically defined as amenorrhoea of 12 months' duration after the final menstrual period. Menopause represents complete ovarian follicular depletion and the absence of estrogen secretion by the ovaries. MENOPAUSE Tobacco use, nulliparity, and family history are associated with earlier...

MALIGNANT BREAST CANCER Incidence • Is one of the most common malignancy in women with a ration of 1:10 • Common between ages 30-80 with peak incidence at 40-60 years of age • 1% of all breast cancers affect men while 99% affect women MALIGNANT BREAST CANCER: PREDISPOSING FACTORS 1. Age – risk increases gradually with age until 60 years. Then dramatically increases after 60 years of age 2. Hereditary factors- Family history of breast in the 1st line relatives increases the ri...