Medicine an Surgery notes

Apr 24th, 2015
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DR. N.K. NJOGULECTURER REPRODUCTIVE HEALTH3rd October 20121OUTLINE Definition Diagnosis and classification Ovarian morphology and function Hormonal changes in menopause Tissues and organ changes in menopause Clinical presentation Management Perimenopausal and postmenopausal bleeding2DefinitionsClimacteric: Phase ageing during which a woman passes from thereproductive to the non-reproductive stage .Premenopause: Part of the climacteric before menopause occurs. Menstrual cycle irregular3MENOPAUSE The final menstrual period which occurs duringclimacteric.Age of onset: 49-52yearsMedian age : 51 yearsMay vary between 35-58 yearsPremature menopause < 35 yearsDelayed menopause > 58 years4 Average age of menopause increasing Age of menarche reducing.Attributed to affluence increased body fat.Diagnosis: Retrospective. Clinically diagnosed with passage of one year ofamenorrhea.5 Post-menopausePhase of life that comes after menopause.Classification of menopause: Physiological menopause Artificial menopause6Physiological menopause Oogenesis begins in the ovary in the 3rd week ofgestation.Approx. 7 million oogonia at 20 weeks gestation.No new oocytes are formed after 7 months gestation.1-2 m oocytes at birth300,000-500,000 oocytes at puberty7 Ovulation and atresia leads to oocyte reduction 400-500 ovulated

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