create a SOAP note on a hypothetical female patient of any age from the below topic.
HAS TO BE MADE IN THE PROVIDED TEMPLATE on Menstural disorders
USE TEMPLATE PROVIDED
Menstrual Cycle Disorders
Dysmenorrhea is defined as painful menstruation. Primary dysmenorrhea often begins 6 to 12 months after menarche. Typically, symptoms begin with the onset of bleeding and continue for 1 to 3 days into the menstrual cycle. Increased endometrial prostaglandin production is believed to be the cause of the pain. Secondary dysmenorrhea is defined as painful menses that is caused by pelvic pathology, such as endometriosis, pelvic inflammatory disease, or uterine fibroids. Pharmacologic options for dysmenorrhea include the use of non-steroidal inflammatory drugs and various hormonal contraceptive methods.
Amenorrhea is defined as the absence of menses. Primary amenorrhea is the lack of menstruation by the age of 16. Secondary amenorrhea is defined as 3 months without menses once menses has been established. Physiologic causes of amenorrhea include anatomic defects, ovarian failure, chronic anovulation, anterior pituitary disorders, and central nervous system disorders. Pregnancy is the most common cause of secondary amenorrhea. A thorough medical history, family history, assessment, and diagnostic studies should be conducted for proper diagnosis.
Abnormal uterine bleeding refers to any uterine bleeding that is irregular in amount, frequency, duration, or timing. Disruption of endocrine function at any level of the hypothalamic-pituitary-ovarian axis can disrupt normal menstrual physiology. Abnormal uterine bleeding can occur as a normal physiologic event that accompanies menarche or peri-menopause. The most common cause of abnormal uterine bleeding is anovulation. The anovulatory woman is always in the follicular phase of the ovarian cycle and the proliferative phase of the endometrial cycle. There is no luteal or secretory phase because there is no ovulation. Anovulation may occur as a result of mental distress, age, BMI, excessive exercise, endocrine disorders, pregnancy, and lactation. The irregular cycle intervals associated with anovulatory bleeding lead to heavy bleeding due to the high levels of unopposed estrogen that can result in endometrial hyperplasia.
create a SOAP note on a hypothetical female patient of any age from the below to
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