7 Female Reproductive System

Prefixes

a- (absence of, without)

an- (absence of, without)

dys- (painful, difficult, abnormal, labored)

endo- (within)

peri- (surrounding)

Combining Forms

arche/o (first, beginning)

cervic/o (cervix)

colp/o (vagina)

endometri/o (endometrium)

episi/o (vulva)

gyn/o (woman)

gynec/o (woman)

hymen/o (hymen)

hyster/o (uterus)

mamm/o (breast)

mast/o (breast)

men/o (menstruation)

metr/i (uterus)

metr/o (uterus)

oophor/o (ovary)

pelv/i (pelvis, pelvic bones, pelvic cavity)

perine/o (perineum)

salping/o (uterine tube, fallopian tube)

trachel/o (cervix)

vagin/o (vagina)

vulv/o (vulva)

Suffixes

-al (pertaining to)

-atresia (occlusion, closure)

-clesis (surgical closure)

-ectomy (excision, surgical removal)

-gram (the record, radiographic image)

-graphy (process of recording, radiographic imaging)

-itis (inflammation)

-logist (specialist or physician who studies and treats)

-logy (study of)

-osis (abnormal condition)

-pexy (surgical fixation, suspension)

-plasty (surgical repair)

-rrhaphy (suturing, repairing)

-rrhea (flow, discharge)

-salpinx (uterine tube)

-scope (instrument used for visual examination)

-scopy (visually examining)

-tomy (cut into, incision)

Apply the rules of medical language to pronounce, break into word parts, and define the following terms.

Label each word part by using the following abbreviations:

P = Prefix
WR = Word Root
CV = Combining Vowel
S = Suffix
CF = Combining Form

Example: osteoarthropathy (ä-stē-ō-är-THROP-ă-thē) – disease of bone and joint

WR     CV    WR     CV     S

oste / o / arthr / o /pathy

     CF               CF

Practice pronouncing and defining these medical terms that are not easily broken into word parts.

adenomyosis (ad-ĕ-nō-mī-Ō-sis)

anovulation (an-ov-yŭ-LĀ-shŏn)

Bartholin’s glands (BAR-tō-lĭns glăns)

breast cancer (brest KAN-sĕr)

cervical cancer (SĔR-vi-kăl KAN-sĕr)

contraception (kon-tră-SEP-shŏn)

dyspareunia (dis-pă-ROO-nē-ă)

endometrial cancer (en-dō-MĒ-trē-ăl KAN-sĕr)

fibrocystic breast changes (FCC) (fī-brō-SĬS-tĭk brest)

fistula (FIS-chŭ-lă)

hormonal replacement therapy (HRT)

menopause (MEN-ŏ-poz)

oligoovulation (ol-i-gō-ov-yŭ-LĀ-shŏn)

ovarian cancer (ō-VAR-ē-ăn KAN-sĕr)

ovulation (ov-yŭ-LĀ-shŏn)

papanicolaou Smear (păp-ă-NĒ-kă-low smēr)

pelvic inflammatory disease (PID)

polycystic ovary syndrome (PCOS) (pŏl-ē-SĬS-tĭk Ō-vă-rē SĬN-drōm)

premenstrual syndrome (prē-MĔN-stroo-ăl SĬN-drōm)

prolapse (PRŌ-laps)

speculum (SPEK-yŭ-lŭm)

toxic shock syndrome

tubal ligation (TOO-băl lī-GĀ-shŏn)

uterine fibroid (ŪT-ĕ-rīn FIB-royd)

uterine prolapse (ŪT-ĕ-rīn PRŌ-laps)

vaginal fistula (VAJ-ĭn-ăl FIS-chŭ-lă)

Practice pronouncing and defining these commonly abbreviated terms.

Female Reproductive System Term Abbreviations

Sort the terms from the word lists above into the following categories.

• Disease and Disorder (terms describing any deviation from normal structure and function)
• Diagnostic (terms related to process of identifying a disease, condition, or injury from its signs and symptoms)
• Therapeutic (terms related to treatment or curing of diseases)
• Anatomic (terms related to body structure)

Use terms related to the female reproductive system.

Label the following female reproductive system anatomy.

cervix | endometrium | fimbriae | fundus | myometrium | ovary | perimetrium | uterine tube | vagina

Place the following medical terms in context to complete the scenario below.

cysts | dysmenorrhea | endometrial | endometriosis | laparoscopy | pain | pelvis | tissue | transvaginal

FEMALE REPRODUCTIVE SYSTEM – MEDICAL REPORT

PATIENT NAME: Stacey ROBERTS
AGE: 28 Sex: Female
DOB: October 27
DATE OF ASSESSMENT: July 22
ADMITTING PHYSICIAN: Adam Vance, MD, Gynecology

DIAGNOSIS: Endometriosis

HISTORY: This 28-year-old white female came to me with symptoms of ________. She presented with ________, menorrhagia, and pain with intercourse.

PHYSICAL EXAMINATION: During a ________ exam, abnormalities were felt. A ________ ultrasound was performed, and ________ were identified.

TREATMENT: I have discussed the results of the ultrasound and have recommended a laparoscopy to provide more information on the location, extent, and size of the ________ implants. A ________ sample will be sent for further testing. If possible, the endometriosis implants will be removed.

PLAN: Ms. Roberts has agreed to the laparoscopy. I have prescribed Orilissa to help with the ________. My office will set up an appointment for the ________.

___________________________
Adam Vance, MD, Gynecology

Place the following medical terms in context to complete the scenario below.

abdominal | auscultation | Blood pressure | chronic | edema | menorrhagia | murmur | oophoritis | ovarian | RLQ | spotting | urination

FEMALE REPRODUCTIVE SYSTEM – MEDICAL REPORT

PATIENT NAME: Megan WESTOVER
AGE: 29
SEX: Female
DOB: November 22
DATE OF ASSESSMENT: June 4
ATTENDING PHYSICIAN: Adam Vance, MD, Gynecology

HISTORY: A 29-year-old woman complains of right ________ pain. She has fever with chills, nausea, and pain during ________ for 3 days. She is in the 4th day of her menstrual cycle and has ________. She has had intermenstrual ________  for the last 3 menstrual cycles. She had a hysterectomy due to a breast cancer 9 years ago. She has no other history of ________ illness.

PHYSICAL AND EXAMINATION: VITAL SIGNS: Temperature 102.2, ________ 115/75, and pulse 92, regular. Respiratory rate 16. LUNGS: Normal breath sounds. HEART: No ________, regular rhythm. ABDOMEN: There is a tenderness to deep palpation in the ________. Pain triggers when the patient bends forward. Normal to ________. BACK: No flank tenderness. EXTREMITIES: Normal with no ________.

LABORATORY: No UTI, urinalysis done in the clinic negative.

ASSESSMENT: Rule out ________. No evidence of UTI currently.

PLAN

1. CBC lab testing.
2. Pelvic ultrasound focused on ________ structures, transvaginal ultrasound.
3. Begin treatment empirically with Ampicillin 500 mg daily.
4. Follow up with the patient after the blood and ultrasound results.

___________________________________
Adam Vance, MD, Gynecology

Place the following medical terms in context to complete the scenario below.

breast | chemotherapy | cyanosis | distended | erythema | HEENT | lesion | mastectomy | murmurs | Weight |

FEMALE REPRODUCTIVE SYSTEM – CONSULTATION REPORT

PATIENT NAME: Abigail LANGMAN
AGE: 51
SEX: Female
DOB: July 27
DATE OF CONSULTATION: October 8
CONSULTING PHYSICIAN: Adam Vance, MD, OB/GYN

REASON FOR CONSULTATION: Possible breast cancer.

HISTORY: Patient is a 51-year-old woman here for a check-up because of a suspicious lump that was found on her yearly mammogram. Patient is worried about possible ________ cancer.

PHYSICAL EXAMINATION: GENERAL: No acute distress. VITAL SIGNS: Temperature is 98.1°F. Pulse is 72, BP is 110/72 mm Hg. Respirations 16. ________ is 186 pounds, height is 5 feet, 8 inches. ________: Eyes are equal and responsive. Ears are normal, no discharge. Nose is normal. Throat is normal and without ________. LUNGS: Clear to auscultation. CARDIOVASCULAR: Regular rate and rhythm, no ________. ABDOMEN: Palpation is soft, not ________, nontender. BREAST: RIGHT: Tender to the touch on right side and has a hard lump about the size of a golf ball near the axilla. LEFT: Normal to the touch, no discomfort. EXTREMITIES: Without edema, ________, or clubbing.

SOCIAL HISTORY: Mother had breast cancer at the age of 48 and had a ________ to remove the left breast. Patient has been scheduled for yearly mammograms since the age of 45 to check for possible signs of early breast cancer. Father has a history of stage 1 rectal cancer treated with 3 rounds of ________. The patient does not smoke or use recreational drugs, she does like a glass of wine 3-4 nights a week.

Patient states she is quite worried since scheduling an appointment to follow up her mammogram results. Patient has experiencing anxiety which is affecting her eating and sleeping routine.

ASSESSMENT: Patient is a 51-year-old woman here for a check-up because a suspicious lump found on her yearly mammogram. Patient is otherwise healthy and is not currently on any medications.

PLAN

1. Ultrasound of the right breast.
2. Biopsy of the ________ for pathology. Avoid overexertion or lifting of arms above shoulder height after the biopsy
3. Follow-up appointment in 2-3 weeks for results.

________________________
Adam Vance, MD, OB/GYN

Test your knowledge by answering the questions below.

1. endometrium
2. oocyte
3. puerperium

1. surgical removal of the uterus
2. surgical removal of the fallopian/uterine tubes
3. surgical removal of the breast(s)

1. Dysmenorrhea
2. Oligomenorrhea
3. Amenorrhea

1. dysuria
2. dysmenorrhea
3. dyspareunia

1. fornix
2. axilla
3. Bartholin’s glands