Patient Education Plan 4 for the NUR 427 Course...
Tiffany is a 28 year old Chinese-American female. She works as an attorney at one of the top corporate law firms in the city. She just got married two years ago. She has been sad lately because she has gained weight and her skin is breaking out with acne. She attributes the weight gain to being a newlywed and the acne to the stress at work. Her husband and she have been trying to conceive from the beginning of the marriage. They had been unsuccessful trying on their own and decided to seek medical attention. Of course Tiffany reads every medical book written on infertility and decided that her irregular and long periods were the cause of them not having children yet. She even calls her mother and is told that she doesn’t know of anyone in the family that has had infertility problems. However, after running numerous tests on both her and her husband the answer came back with an acronym, PCOS.
Polycystic ovary syndrome (PCOS)
According to the Mayo Clinic, polycystic ovary syndrome (PCOS) is the most common hormonal disorder among women of reproductive age. The syndrome gets the name based on the appearance of the ovaries through ultrasound. They appear enlarged and containing numerous small cysts located along the outer edge of each ovary. It is important to note however, that 10–20% of the female population have the appearance of polycystic ovaries but do not have the syndrome (Raisbeck, 2009). To understand PCOS you must first understand a normal reproductive cycle. Reproduction is controlled by shifting levels of hormones formed by the pituitary gland and by your ovaries. The pituitary gland produces follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which control the growth and discharge of eggs (ovulation) in the ovaries. During a monthly cycle, ovulation occurs about two weeks before your period. Your ovaries secrete the hormones estrogen and progesterone, which gets the uterus ready to accept a fertilized egg. The ovaries also produce some male hormones (androgens), such as testosterone. If pregnancy doesn't occur, estrogen and progesterone secretion decline and the lining of the uterus is shed during menstruation. (Patient Education Plan 4)
In polycystic ovary syndrome, the pituitary gland may secrete high levels of LH and the ovaries may make too many androgens. This changes the normal menstrual cycle and may lead to infertility, excess body hair and acne. In order to diagnosis someone with PCOS the doctor must discover at least two of these symptoms:
Menstrual abnormality. This is the most common characteristic. Examples of menstrual abnormality include menstrual intervals longer than 35 days; fewer than eight menstrual cycles a year; failure to menstruate...[continues]
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