Finally, in this portion of the unit, your task will be to take three different kinds of texts – one form a peer-reviewed article in the medical literature, one a case report, and one an article from anywhere in the popular press or on the internet – about a topic of particular interest to you. After reading each of these three texts (and you can certainly use more if you like), your job will be to write 3 double-spaced pages in which you use what you’ve learned from the above assignments to put together the most compelling beginning of an essay written for a lay audience.
Article: Dysfunctional Uterine Bleeding (DUB)
Did you think that pregnancy and childbirth were the most difficult periods in a woman life while undertaking the biological ascription of womanhood? Importantly, before any pregnancy could occur a woman must attain menarche, which is called the onset of menstration. Menstration usually lasts 3-7 days, but can be as short as two and long as ten days. Initially, for some girls this is trauma because blood flows through the vagina for those days. Therefore, it involves using a device to absorb the blood preventing it from soiling surfaces and the clothes of the girl/woman. Essentially, it could be very disgusting because these devices whether sanitary pads or tampons must be changed regularly while the flow is on throughout those days.
This is, however, not the whole story about menstration if it were only just like that. Some women experience pain during the flow and, more importantly, when the 5-7 days period arrives for the flow to stop it can continue for weeks or months. Incidentally, menstration is expected to flow once every 28-42 days. When bleeding continues a condition known as dysfunctional uterine bleeding (DUB)develops. Scientists have discovered that DUB affects 10% to 30% women/girls during their reproductive years.Precisely, it is known to affect women negatively since this blood just flows in some cases heavily and they have to be changing tampons or sanitary pads without an idea of when the flow will stop. There is 20% prevalenceamong adolescents and 40% among women over age 40 (Munro, 2001).
Case studies on menorrhagia, another term used in medical science to describe dysfunctional uterine bleeding (DUB) showwhere the onset could be sudden.Dr. Cheryl Cummings Stegbauer (2005), clinical case reporteroffered a case study of a 19 year old obese woman arriving at the her primary care physician with a history ofmenstration longer than usual. It was accompanied by cramping and it never happened before(Stegbauer, 2005).
The reporter advocated that Nurse practitioners ought to take a thorough history from patients similar to the one in this case study. This 19 year old medical history consisted of‘obesity, migraine headaches, asthma, depression, and dyslipidemia. No thyroid disease, liver abnormalities, chronic renal disease either bleeding or clotting disorders were reported. Past surgical history was insignificant. She was takingnorethindrone/ ethinyl estradiol (Ortho- Novum 7/7/7), ibuprofen 800 mg tidprn or naproxen prn, fluticasone bid, and albuterol prn’ (Stegbauer, 2005, p.1).
This client reported that she began menstruating at age 12. It occurred regularly forevery 28 days with 7 day duration.Recently there have been marked changes in the menstrual cycle, which she attributedto taking norethindrone/ethinyl estradiol medication over time.The 19 year old describes the cycle as heavy changing a soaked pad every hour for the past 12 days.Certainly, 95% of men would not trade their gender for experiences such as these. Yet society places very littlerespect on women and the biological obligations they carry beside pregnany and child birth (Stegbauer, 2005).
While research is still continuing and case study reportsare being put together educating young women, especially, who are new to the menstration phenomenon, published New York Times has published valuable information which can be used by any woman first experiencing menstration. It is important to now the signs and symptoms and when to seek medical attention. Dysfunctional Uterine Bleeding (DUB) according to the reporter can be also termedbleeding between periods; intermenstrual bleeding; spotting and metrorrhagia. There are a number of predisposing factors were reported including, hormone level changes, alterations in body weight medications; stress; birth control pills; intrauterine devices; uterine and cervical polyps (The New York Times, 2013).
As soon as bleeding extends beyond the day it is expected to stop seek medical advice. Allowing the blood flow to prolog can create low hemoglobin count, anemia, fatigue and inability to function at maximum. Ultimately, it can lead to loss of income through absenteeism or even getting fired. Once bleeding is associated with as pain, fatigue, dizziness go to the emergency or primary care wherever you could be seen immediatelypolyps (The New York Times, 2013).
At your primary Care or emergency expect a thorough physical examination of the pelvis initially. This is the area in the region of your lower abdomen containing your uterus, fallopian tubes, ovaries and all reproductive organs. An examination of the vagina, cervix, urethra and vestibula will also be done to verify that the bleeding is coming from the uterus. Really, this experience calls for society to respect woman as honorable since men would scarcely want to take care of their offspring financially much more go through pregnancy, childbirth and dysfunctional, uterine bleeding for a major portion of their lives. Surely, womanhood is much more than men think it is. It consists of dysfunctions under-burdening (DUB).
Munro M. (2001).Dysfunctional uterine bleeding: advances in diagnosis and treatment.Curr
Stegbauer, C. (2005).Abnormal Uterine Bleeding: A Case Study of Menorrhagia. RedOrbit.
The New York Times (2013).Vaginal Bleeding Between Periods.The New York Times