WOMEN’S HEALTH
By the end of the session, the learner will be able to:1. Define the women health
2. Identify the needs for gender-special care
3. Discuss the diseases unique for women
4. Discuss why diseases affect women in different way
5. Identify different specialties involved in women health care
6. Identify preventive care activities involved in women health
7. Identify curative care activates involved in women health care
Women's health-A case
THINK, PAIR & SHARE
Haya is a 67-year-old female who recently moved to the city. She has chosen you as her primary care physician and presents to your office for the first time. During the visit she inquires about health prevention and screening. Throughout the years she has remained relatively healthy. Her medications consist of 25 mcg of levothyroxine for treatment of hypothyroidism, and a multivitamin. Her only surgeries consist of nonmalignant mole removals.She is150 cm and weighs 70 kg. Her BP is 120/70. Heart, lung, breast, and abdominal exam are all within normal limits How will you approach this patient?
Case 1
Women's health
Definition
Women’s health refers to the branch of medicine that focuses on the treatment and diagnosis of diseases and conditions that affect a woman’s physical and emotional well-being.
Women's Health Highlights: Recent Findings: Program Brief. September 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/factsheets/women/womenh/index.html
Some Facts in Women Health:Longer life expectancy than men,
They do not necessarily live those extra years in good physical and mental health.
Women experience 3.1 years of reduced physical functioning at the end of life, 2010, 13.5 percent of women aged 18 and older who were surveyed said they were in fair or poor health.
Health issues or conditions affect women differently than men
Symptoms may be similar, the effects of the condition and the
care necessary can differ significantly for women.
Conditions might affect women primarily or more severely
than men.
For example, almost 12% of women are at risk for developing
breast cancer during their lifetime.
Male breast cancer accounts for less than 1% of existing
breast cancer cases.
Women's Health Highlights: Recent Findings: Program Brief. September 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/factsheets/women/womenh/index.html
RESEARCH IN WOMEN HEALTHThe Agency for Healthcare Research and Quality (AHRQ) supports research on all aspects of health care provided to women, including: Enhancing the response of the health system to
women's needs. Understanding differences between the health care
needs of women and men. Understanding and eliminating disparities in health
care. Empowering women to make well informed health care
decisions
What health issues or conditions affect women differently than men?
THINK, PAIR & SHARE
Heart disease.
Mental health. Osteoarthritis. Sexually transmitted diseases (STDs/STIs).
Stress. Stroke. Urinary tract healthViolence against women, Osteoporosis and bone health
What health issues or conditions affect women differently than men?
Heart disease. Heart disease is the leading cause of death for women
Mental health. Women are more likely to show signs of depression and anxiety than men are.
Osteoarthritis. The condition affects more women than men.
What health issues or conditions affect women differently than men?
Sexually transmitted diseases (STDs/STIs).
The effect on women can be more serious than on men.
Stress: Women are more likely to report stress,50% of all women in a survey, (39%
men). Stress might reduce a woman’s chance
of becoming pregnant.
What health issues or conditions affect women differently than men?
Stroke. More than men. Some risk factors are unique to women:
• Birth control pills • Being pregnant • Hormone replacement therapy.• Frequent migraine headaches • Thick waist (larger than 102 cm), particularly
if post-menopausal, • High triglyceride levels
What health issues or conditions affect women differently than men?
Urinary tract health. Women > men are to experience urinary tract problems; urinary incontinence
What health issues or conditions affect women differently than men?
Unique health issues and conditions:Pregnancy and menopauseGynecological conditions, such as uterine fibroids and pelvic floor disorders. Others:Violence against women, women with disabilities osteoporosis and bone health
http://www.nichd.nih.gov/health/topics/womenshealth/conditioninfo/pages/whatconditions.aspx
Women’s health Problems are long list :• Birth control, sexually transmitted infections, and gynecology
• Breast cancer, ovarian cancer, and other female cancers
• Mammography
• Menopause and hormone replacement therapy
• Osteoporosis
• Pregnancy and childbirth
• Sexual health
• Women and heart disease
• Benign conditions affecting the function of the female
reproductive organs, eg……
Women's health
THINK, PAIR & SHARE
What preventive care could be provided??
• Regular gynecological checkups, including a pelvic exam and breast exam
• Pap smear
• Bone density testing
• Breast cancer screening
• Colon cancer screening
• Age-appropriate immunizations
• Healthy lifestyle risk assessment
• Hormonal testing for menopause
PREVENTATIVE CARE AND SCREENINGS
BREAST CARE SERVICESThe diagnostic services of breast:MammographyBreast biopsyBreast MRI scanBreast ultrasoundGenetic testing and counseling for women with
a family or personal history of breast cancer
BREAST CARE SERVICESTherapeutic Services:Hormonal therapy, radiation therapy, and
chemotherapyMastectomy and breast reconstructionThe breast care services team may also diagnose
and treat noncancerous conditions of the breast, including:
Benign breast lumpsLymphedema, a condition in which excess fluid
collects in tissue and causes swelling
SEXUAL HEALTH SERVICESSexual health is an important part of your overall well-being. Women’s sexual health services may include:
Birth control (contraceptives)Prevention, diagnosis, and treatment of
sexually transmitted illnessesTherapies to help with problems with
sexual function
GYNECOLOGY AND REPRODUCTIVE HEALTH SERVICESGynecology and reproductive health services may include the diagnosis and treatment of various conditions and diseases, including:
Abnormal Pap smears Abnormal vaginal bleedingBacterial vaginosis EndometriosisHeavy menstrual cycles Irregular menstrual cyclesOvarian cysts Pelvic inflammatory diseasePelvic pain Polycystic ovary syndrome (PCOS)Uterine fibroids Uterine and vaginal prolapseVaginal yeast infectionVarious conditions affecting the vulva and vaginaPremenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD)
BLADDER CARE SERVICESDiagnose & Treatment:.
Bladder emptying disorders
Urinary incontinence and overactive bladder
Interstitial cystitis
Prolapse of the bladder
OTHER WOMEN’S HEALTH SERVICES• Cosmetic surgery and skin care, including
skin cancer• Diet and nutrition services• Psychological care and counseling for
women dealing with abuse or sexual assault
• Sleep disorders services
• Smoking cessation
SPECIAL TREATMENTS AND PROCEDURES
Cesarean section (c-section) Endometrial ablation Endometrial biopsy D&C Hysterectomy Hysteroscopy Mastectomy and breast reconstruction Pelvic laparoscopy Procedures to treat precancerous changes of the cervix (LEEP,
Cone biopsy) Procedures to treat urinary incontinence Tubal ligation and reversal of tubal sterilization Uterine artery embolization
The women's health services team includes :
Obstetrician/gynecologist (ob/gyn)
General surgeons specializing in breast care
Perinatologist: An ob/gyn specializes in the care of high-risk
pregnancies
Radiologist
Physician assistant (PA)
Primary care doctor
Nurse practitioner (NP)
Nurse midwives
PREGNANCY AND CHILDBIRTH SERVICES Planning and preparing for pregnancy, including information
about proper diet and prenatal vitamins Prenatal care, delivery, and postpartum care High-risk pregnancy care (maternal-fetal medicine) Breastfeeding and nursing
INFERTILITY SERVICES Testing to determine the cause of infertility Blood and imaging tests to monitor ovulation Fertility treatments, including:
Medications to stimulate ovulation Intrauterine insemination In vitro fertilization (IVF) Intracytoplasmic sperm injection (ICSI)
Counseling for couples who are dealing with infertility or loss of a baby
Women's health
SCREENING GROUPS &
TIMING
Haya is a 67-year-old female who recently moved to the city. She has chosen you as her primary care physician and presents to your office for the first time. During the visit she inquires about health prevention and screening. Throughout the years she has remained relatively healthy. Her medications consist of 25 mcg of levothyroxine for treatment of hypothyroidism, and a multivitamin. Her only surgeries consist of nonmalignant mole removals.She is150 cm and weighs 70 kg. Her BP is 120/70. Heart, lung, breast, and abdominal exam are all within normal limits How will you approach this patient?
Case 1
FINALLY:
؟ الحزن للنساء الله يرضى لم لماذايحزن) ( وال اعينهن تقر ان
تحزني) ( اال تحتها من فناداها) تحزني) وال تخافي وال
) تحزن) وال عينها تقر كي
، عميق المرأة حزن ان االيات وضحتقلبها يتحمله ال شديد والم
@ بالقوارير@ رفقامحمد رسولنا البشرية معلم من بليغ تشبيه
وسلم عليه الله صلى
.
Thanks
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