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OLIGOMENORRHEA - Coggle Diagram
OLIGOMENORRHEA
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PATHOPHYSIOLOGY
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2.During the follicular phase, estrogen secretion rises while other hormone levels are low.
3.At ovulation luteinizing hormone and follicle-stimulating hormone surges are associated with falling estrogen levels
4.Secretions of progesterone and estrogen again are characteristic of the luteal phase ending with menstruation.
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INVESTIGATION
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2.Blood Test: Thyroid stimulating hormone (TSH), Folicle stimulating hormone (FSH), dehydroepiandrosterone (DHEA)
3.Radiology & Imaging: Ultrasound, CT Scan, MRI Scan
MANAGEMENT
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2.NURSING CARE
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1.Rest in bed according to supine or recumbent, semi flower and flower position.
- Taking and monitoring vital sign such blood pressure, pulse rate, respiration rate,
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- Insert and monitoring intravenous normal saline drip to avoid electrolyte imbalance.
- Administration medication according to prescription such as right patient, right medication,
right dosage, right route, right time, right documentation, right refuse.
- Taking blood specimen and labeling sample for investigation purpose.
- Record tracking and saving documentation for support diagnosis and as proof of activities.
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HEALTH EDUCATION
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2.Take the medication with correct dosage and timing according to doctor prescription such as 2 time per day (BD), 3 time per day (TDS), 4 time per day (QID), Immediately (Stat) and when necessary (PRN).
3.Consume a balance diet based on the food pyramid such as intake of high protein food, carbohydrate food, vegetables and fruits.
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6.practice a healthy and active lifestyle by doing light exercise such as jogging, walking, yoga and so on for a speedy recovery capabilities.
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TYPES
1.PRIMARY OLIGOMENORRHEA
When a woman reaches the age of 16 and has not started menstruating or if menstruation has not begin within three years of breast development.
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ETIOLOGY
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- Pelvic inflammatory disease
- Uncontrolled diabetes mellitus
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PROGNOSIS
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I. Can cured
- if follow early treatment
II. Cannot cured
- late treatment and severe complications
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