Question

1. What is menopause? Perimenopause?

2. What is erectile dysfunction (ED)?

a. List a medication used in the treatment of ED.

b. Discuss a nursing implication of the medication.

c. Discuss a teaching point of the medication.

3. What causes sexual problems? Name 3 issues.

4. Does sexual drive increase with age? Explain.

Answer 1

ANSWER 1

MENOPAUSE IS STAGE IN WHICH WOMEN STOP BLEEDING AND STOP REPRODUCING NATURALLY

symptoms of menopause -

systemic

• weight loss
• heavy night sweat

psychological

• dizziness
• anxiety
• poor memory
• mood swinh
• inability to concentrate
• depression
• irritation
• loss of libido
• interrupted sleeping pattern

skin

• hot flushes
• dryness
• itching
• thinning
• tingling

breast

• enlargement
• pain

joint

• soreness
• pain

boneloss

PERIMENOPAUSE

menopause transition,START process of menopause before actual start of menopause due to lack of estrogen,occur in early 40 to late 40 begins several years before menopause. It's the time when the ovaries gradually begin to make less estrogen. It usually starts in a woman's 40s, and end up in menopause

symptoms include

• anxiety
• depression
• pain during intercourse
• insomnia'
• fatigue
• vagi..l dryness
• loss of hair

ANSWER 2

ERECTILE DYSFUNCTION

IT is inabilty of male organ to erect fully for intercourse because of low testosterone

symptoms

• hot flush
• fatigue
• hypotonic muscle
• male infertility
• loss of libido
• mood change

answer 2a

best medicine is

• 1. viagra (sildenafil)
• 2 .cialis (tadafil)
• 3 levitra (verdenafil)

these are PDE 5 INHIBITOR

answer 2b

nursing implication

1. recognise cause

• obesity
• diabetes mellitus
• cardio vascular disease
• accident
• injury on organ
• smoking
• physival inability
• renal disease

2 assessing erectile dysfunction

• hormonr
• glucose
• lipid assessment

3 treatmnet option

• psychosexual counselling
• PDE 5 inbittor
• vaccum erection device
• penile prosthesis

4 treatment optimization

• treament of underlying cause
• medication of ed

answer 2c

teaching of patient taking medication

• Try and ejaculate again.
• - Have a warm bath or shower to promote vasodilatation.
• - Walk up/down stairs (to divert the blood to the legs).

answer 3

cause of sexual problem

• diabetes
• neurological disorder
• hormonal imbalance

answer 4

loss of sexual drivwe with agea

in male - as age advances testosterone decrease which cause delay in erection or not able to erect fully so cause distress and cause loss of sexual ddrive

in female - with age sexual drive decreasw with age due to menopause