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