Lecture Notes: Men's and Women's Health Issues

Introduction

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• Available on various social media platforms under the handle "Nexus Nursing".

Terazosin

• Patient Education:
  • Change position slowly to avoid dizziness due to orthostatic hypotension.
  • Alpha-1 adrenergic blocker used for BPH symptoms like nocturia, hesitancy, and urgency.

Estradiol

• Patient Education:
  • Report unusual vaginal bleeding.
  • Does not decrease the risk of breast cancer.
  • Can increase growth of existing cancer cells.
  • Increases risk of DVTs; smoking increases this risk.
  • Used as hormone replacement and contraceptive; does not prevent STDs.

Finasteride

• Patient Education:
  • Takes several months (3-6) for urinary symptom improvement.
  • No regular blood tests for testosterone needed.
  • Not to stop medication abruptly without healthcare provider consultation.

Medroxyprogesterone Acetate (Depo Shot)

• Patient Education:
  • Receive injection every 3 months for contraception.
  • Does not protect against STDs.
  • Increase calcium and vitamin D intake to prevent osteoporosis.
  • May cause menstrual cycle changes.

Osteoporosis Risk Reduction

• Recommendations:
  • Engage in weight-bearing exercises like walking or weightlifting.
  • Calcium and vitamin D are essential for bone health.

Hormone Replacement Therapy (HRT)

• Patient Education:
  • Report unusual vaginal bleeding.
  • Does not eliminate osteoporosis risk or decrease cardiovascular disease risk.
  • Not a lifelong therapy; needs weaning off.

Polycystic Ovarian Syndrome (PCOS)

• Management:
  • Healthy diet and exercise can help manage symptoms.
  • Insulin resistance is often associated; implies need for dietary management.
  • Not cured after the first pregnancy.

Prostate Specific Antigen (PSA) Testing

• Elevated PSA is not a definitive diagnosis for prostate cancer.
  • Can be elevated due to prostatitis or BPH.
  • Biopsy is necessary for definitive diagnosis.

Sildenafil

• Patient Education:
  • Should be taken on an empty stomach for best results.
  • Avoid with antihypertensive agents or nitrates due to blood pressure implications.
  • Priapism (erection lasting more than 4 hours) is a medical emergency.

Conclusion

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• For further clarification, engagement in comments is welcome.