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Women's health and myocardial infarction
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Evaluating the risk of cardiovascular disease (CVD) in women who have undergone hysterectomy: A review of literature
Anahita Mehdian
University of Memphis
Spring, 2016 Evaluating the risk of cardiovascular disease (CVD) in women who have undergone hysterectomy: A review of literature
Introduction
Hysterectomy is a common surgical procedure in the United States, with approximately 600,000 hysterectomies performed each year (Whiteman et al., 2008). Hysterectomy is the surgical removal of the uterus and may be accompanied by bilateral or unilateral oophorectomy (Appiah, 2015). Rates of hysterectomies increased, from years 1965-2002. Since then a 34% reduction in hysterectomy rates has been reported, in 2010 (Lobo, 2016). Hysterectomy may be accompanied by the removal of one or both of the ovaries to decrease the risk of ovarian cancer and in some cases for an indication other than cancer, such as treating fibroid tumors or excess bleeding (Moorman, 2011). Cardiovascular Disease is defined by the American Heart Association as “Heart and blood vessel disease”. Atherosclerosis of the arteries, can lead to hypertension, heart failure, arrhythmias, heart valve problems, myocardial infarctions or a stroke (AHA, 2016). In this paper, all of heart and vessel diseases aforementioned, will be considered cardiovascular disease (CVD). According to
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To decrease the risk of ovarian cancer frequently an oophorectomy is done at the same time the hysterectomy is performed. When a hysterectomy and oophorectomy are done together, it may be referred to as surgical menopause. Hysterectomy is often performed to remove cancers of the uterine cervix or endometrium. Hysterectomies are often performed as a last resort to treating endometriosis and uterine fibroid tumors and menorrhagia, as well as several forms of vaginal uterine prolapse (Moorman,
Coronary heart disease is defined by the hardening of the epicardial coronary arteries. The buildup of plaque in the arteries slowly narrows the coronary artery lumen. In order to better understand the physiology of the disease, it is important to first know the basic anatomy of the human heart. The aorta, located in the superior region of the heart, branches off into two main coronary blood vessels, otherwise known as arteries. The arteries are located on the left and right side of the heart and span its surface. They subsequently branch off into smaller arteries which supply oxygen-rich blood to the entire heart (Texas Heart Institute, 2013). Therefore, the narrowing of these arteries due to plaque buildup significantly impairs blood flow throughout the heart.
To start of with, the news article is very clear that uterus transplants are still experimental in the United States (Grady). Taking this into consideration it is understandable why many don’t want uterus transplants being performed. A lot of the risks and long-term effects this surgery can have are unknown. The United States has a tendency to be afraid of the unknown. It is ironic because experimenting is what has advanced both science and medicine. As previously mentioned this surgery has been
Endometriosis is a very painful disease where tissue that usually grows inside the uterus grows outside the uterus. Because this tissue is endometrial tissue it still breaks down and bleeds during the menstrual cycle. Once the tissue breaks down there is no way for it to leave the body. This can cause severe pain. Endometriosis can also involve the ovaries and cyst can form called endometriomas. There are several symptoms from endometriosis, severe abdominal pain, pain with intercourse, pain with bowel movement, extremely painful periods, and excessive bleeding.
Endometriosis occurs when endometrial cells grow in areas outside of the endometrium, such as the ovaries, fallopian tubes, or other pelvic regions. This ectopic endometrial tissue promotes an inflammatory response that produces the clinical features of the disease. The condition likely occurs due to various factors such as abnormal immunity, alerted hormone signaling, and genetics.
The hereditary risk factors for cardiovascular disease are primarily those of which individuals are unable to control, the ones for which they are born with. These risk factors would include an individual’s sex, race, age, and genetics. One out of every five males has some form of cardiovascular disease and the same applies for females. More women than men have cardiovascular disease in this country, but this is only due to the fact that there are more women within the U.S. population (Weiss and Lonnquist, 2011). Men percentage wise are at a higher risk than women. There is a somewhat reduced probability for females to have cardiovascular disease before menopause. This is believed by medical researchers and scientists to be directly related to the natural hor...
Hysterectomy is an option in severe cases of endometriosis. A surgery to remove the uterus and cervix and both ovaries may be the best treatment after the reproductive years.
Women who have taken estrogen-only hormone replacement therapy (HRT) after menopause have a higher risk of ovarian cancer.
Heart disease describes a range of conditions that affect your heart. Diseases under the heart disease umbrella include blood vessel diseases, heart rhythm problems, and heart defects. The major cause of this is a build-up of fatty plaques in the arteries. Plaque build-up thickens and stiffens the vessel walls, which can inhibit blood flow through the arteries to organs and tissues.
Today, cardiovascular disease is “the number one killer in the United States and the developed world” (Sapolsky, 2004, p. 41). Coronary heart disease (CHD) is the most common form of cardiovascular disease, and is responsible for claiming an unreasonable amount of lives every year. CHD can begin to accumulate in young adults, but is prominently found in both men and women in their later adult lives. As a result of CHD, men typically experience heart attacks, whereas women present with chest pains, known as angina (Matthews, 2005).
There needs to be at least 3 of the 5 risk factors to be diagnosed with metabolic syndrome.3 There are 3 etiological categories for metabolic syndrome, disorders that deal with adipose tissue; insulin resistance, and a many independent factors that mediate different aspects of the metabolic syndrome. The medical history should include evaluation of symptoms for OSA (obstructive sleep apnea) in all patients.1 OSA is commonly associated with obesity, HTN, increased circulating cytokines and insulin resistance.1 Medical history should include evaluation of symptoms for PCOS in premenopausal women. PCOS is prevalent in 40-50% of women with metabolic syndrome and is 2-4 times more likely to occur than women without PCOS.1 Family hist...
Using contraception has been a controversial topic since the invention of such medications and devices. Despite being proven to have significant medical relevance aside from preventing unwanted pregnancies, there is still much debate on whether or not insurance companies should provide funding for those that seek out birth control methods.
The American Medical Women's Association. Guide to Cardiovascular Health, New York, NY: Dell Publishing, 2009.
Bilateral partial salpingectomies, infundibulectomies, removal of the retention cysts from the uterine body and tubes.
The surgical procedure to remove ovarian cysts in females who want to retain their ovaries while they are still fertile is called a cystectomy. The decision on whether to only remove the cyst, or cysts, or to completely remove the ovary will depend on the woman’s age, the size of the cyst, if the blood supply to the ovary has been stopped due to a twisted ovary, and if there is any suspicion of malignancy. Once your Glendora General Surgeon determines that a cystectomy is a good option for your individual situation, he will recommend whether to remove the cysts with an open operation or a minimally invasive laparoscopic procedure.
An obstetrician is one thing, and a gynecologist is another. The job is combined together, but the two branches can be worked separately. An obstetrician is a physician who focuses and is trained in the management of pregnancy, labor, and pueperium (the period following childbirth). A physician who has specialized and trained in the health of the female reproductive system is a gynecologist. The reason the jobs are combined is because they’re both all about women. Obstetricians and Gynecologists are physicians who provide general medical care to women. They equip medical care associated with pregnancy or childbirth, and they diagnose, treat, and help prevent diseases, especially those affecting the female