Prayer for Providers of Health Care Gracious Provider of Care and Protection, we remember and stand with health care professionals who furnish health care for us. We give thanks for their commitment to protect the privacy of their patients and to treat them with the dignity and respect they deserve. We give thanks especially for the doctors and nurses and other health care workers who serve the reproductive health care needs. Who train us to usecontraception safely and responsibly, who educate teenagers about intercourse and its consequences, who counsel us at risk to have children with genetic and hereditary problems, who explore options with women who have problempregnancies, who refer couples to responsible adoption agencies, who recognize the rights of women to make reproductive choices. We pray for an end to the rhetoric and violent acts that target health care providers, and pray for the day when health care providers, women and their families, can exercise their rights to reproductive choice in security and peace. Let us pause now for a moment of silence to remember all who have lost their lives, and for those who have been injured in attacks all across our country. (Silence) Help us, Gracious God, to stand together with these courageous and caring people who continue to do your holy work. Amen.
Poem for Reproductive Health Epididymitis, Orchitis, Endometriosis, Fibroid Tumors, Vaginitis, Prostate Cancer; And like babies born to teenage mothers!But with your mind and your body to the muse of the world. Pain and blood, Larger and stronger! And the universal law is always around us; But the respect for others is what we need. I am your soul brother and you are my soul sister, But we have to watch out carefully for these diseases! Because the universal law is always around us.
Epididymitis• Epididymitis is most common between the ages of 18 and 40, but children can get it, too. Boys who experience painful urination, have a history of urinary tract infections, abnormal bladder function, or abnormalities of the genitals and urinary structures are more inclined to get epididymitis. It is seldom found in adolescents who arent sexually active.• In adults, epididymitis is the most common cause of pain in the scrotum, and in adolescents, the second most common cause. The acute form is usually associated with the most severe pain and swelling. If symptoms last for more than six weeks after treatment begins, the condition is considered chronic.• The infection is especially common among members of the military who exercise for extended periods without emptying their bladders.
Symptoms of Epididymitis• Blood in the semen• Discharge from the urethra (the opening at the end of the penis)• Discomfort in the lower abdomen or pelvis• Fever• Groin pain• Lump in the testicle• Pain during ejaculation• Pain or burning during urination• Painful scrotal swelling (epididymis is enlarged)• Tender, swollen groin area on affected side• Testicle pain that gets worse during a bowel movement.
Treatment:• You may need pain medications and anti-inflammatory medications.• Bed rest, while elevating the scrotum and applying ice packs to the area, is recommended. It is very important to have a follow-up visit with your health care provider to find out whether the infection has gone away completely.
Orchitis• Viral mumps is the most common cause of orchitis. Bacterial infections associated with the disorder are tuberculosis, syphilis, gonorrhea, and chlamydia. A mechanical injury to the groin area may also cause orchitis. Fifteen to twenty-five percent of males past the age of puberty with mumps develop orchitis. Epididymo-orchitis (inflammation of both testis and part of the spermatic duct) is the most common bacterial type of Orchitis. This form of the condition occurs most often in sexually active males fifteen years and older, and in men over 45 with enlarged prostates.
Symptoms of Orchitis• Blood in the semen• Discharge from penis• Fever• Groin pain• Pain with intercourse or ejaculation• Pain with urination (dysuria)• Scrotal swelling• Tender, swollen groin area on affected side• Tender, swollen, heavy feeling in the testicle• Testicle pain that is made worse by a bowel movement or straining.
Treatments: Treatments may include:• Antibiotics -- if the infection is caused by bacteria (in the case of gonorrhea or chlamydia, sexual partners must also be treated)• Anti-inflammatory medications• Pain medications• Bed rest with the scrotum elevated and ice packs applied to the area.
Fibroid Tumors or Fibromyomas Uterine fibroid tumors are almost always benign. These benign (non-cancerous) tumors are found in most cases, in the uterus of women in their 30s and 40s. Fibroid tumors are solid tumors which are made of fibrous tissue, hence the name fibroid tumor. Most often fibroids occur as multiple tumor masses which are slow-growing and often cause no symptoms. The size of fibroids varies immensely among women and some are so small that a microscope is required to see them. However some women experience a single large fibroid tumor the size of a grapefruit or a fibroid which is so large it encompasses the entire abdominal area. Such large tumors can weigh as much as 50 pounds; the largest, reported, fibroid ever recorded weighed in at 140 pounds.
Types Of Fibroid Tumors• Submucous Fibroids These fibroids occur just below the lining of the uterus and can cause menstrual problems, including pain as they grow and move around the pelvic area.• Intramural Fibroids A round fibroid most often within the uterine wall which can cause enlargement of the uterus as they grow.• Subserous Fibroids This fibroid grows on the outer wall of the uterus and usually causes no symptoms until it grows large enough to interfere with other organs.
•Pedunculated Fibroids These fibroids develop when asubserous fibroid grows a peduncle (stalk), asthey grow larger they may become twisted andcause severe pain.Interligamentous Fibroid A fibroid which grows sidewaysbetween the ligaments which support theuterus in the abdominal region. This type offibroid is especially difficult to remove withoutthe possibility of interfering with the bloodsupply or other organs.Parasitic Fibroid The rarest form of fibroidtumor occurs when a fibroid attaches itself toanother organ.
Symptoms of Fibromyomasoften, there are no symptomspelvic painirregular menstruation
Treatments: Traditional Fibroid Tumor TreatmentsAlternative Fibroid Tumor Treatments Traditional Fibroid Tumor Treatments• Watchful waiting, often no treatment is necessary• Hysterectomy – is the surgical removal of the uterus, usually performed by a gynecologist. Hysterectomy may be total (removing the body, fundus, and cervix of the uterus; often called "complete") or partial (removal of the uterine body while leaving the cervix intact; also called "supracervical").
Alternative Fibroid Tumor Treatments• Uterine fibroid embolization – In a UFE procedure, physicians use an x-ray camera called a fluoroscope to guide the delivery of small particles to the uterus and fibroids. The small particles are injected through a thin, flexible tube called a catheter. These block the arteries that provide blood flow, causing the fibroids to shrink. Nearly 90 percent of women with fibroids experience relief of their symptoms.• Myomectomy – Myomectomy, sometimes also fibroidectomy, refers to the surgical removal of uterine leiomyomas, also known as fibroids. In contrast to a hysterectomy the uterus remains preserved and the woman retains her reproductive potential.
Endometriosis• Endometriosis is a condition in which the tissue that behaves like the cells lining the uterus (endometrium) grows in other areas of the body, causing pain, irregular bleeding, and possible infertility.• The tissue growth (implant) typically occurs in the pelvic area, outside of the uterus, on the ovaries, bowel, rectum, bladder, and the delicate lining of the pelvis. However, the implants can occur in other areas of the body, too.• a condition in which bits of tissue similar to the lining of the uterus (endometrium) grow in other parts of the body (and within the uterus). Like the uterine lining, this tissue builds up and sheds in response to monthly hormonal cycles. The blood discarded from these implants falls onto surrounding organs, causing swelling and inflammation. This repeated irritation leads to the development of scar tissue and adhesions.
Symptoms of Endometriosis• Painful periods• Pain in the lower abdomen or pelvic cramps that can be felt for a week or two before menstruation• Pain in the lower abdomen felt during menstruation (the pain and cramps may be steady and dull or severe)• Pain during or following sexual intercourse• Pain with bowel movements• Pelvic or low back pain that may occur at any time during the menstrual cycle.
Treatments: »Treatment options include:• Medications to control pain• Medications to stop the endometriosis from getting worse• Surgery to remove the areas of endometriosis• Hysterectomy with removal of both ovaries
Vaginitis• Vaginitis is an inflammation of the vagina.It can result in discharge, itching and pain, and is often associated with an irritation or infection of the vulva. It is usually due to infection.The three main kinds of vaginitis are bacterial vaginosis (BV), vaginal candidiasis, and trichomoniasis.• A woman may have any combination of vaginal infections at one time. The symptoms that arise vary with the infection, although there are general symptoms that all vaginitis infections have and infected women may also be asymptomatic.• Testing for vaginal infections is not a part of routine pelvic exams; therefore, women should neither assume their health care providers will know of the infection, nor that they will provide appropriate treatment without their input.
Types of Vaginitis• There are a several different kinds of vaginitis, each with their own causes and symptoms: • Yeast infections – Candida or "yeast" infections - Yeast infections of the vagina are probably the most familiar form of vaginitis. They occur when too much of the fungus Candida grows in the vagina. – Yeast infections produce a thick, white discharge from the vagina that can look like cottage cheese. The discharge can be watery and often has no smell. Yeast infections usually cause the vagina and vulva (the area outside the vagina) to become itchy and red.
• Bacterial Infections – Bacterial vaginosis - Bacterial vaginosis is the most common vaginal infection in women of reproductive age. It is caused by an overgrowth of bacteria that are usually present in the vagina. – Bacterial vaginosis will often cause a thin, milky vaginal discharge that may have a "fishy" odor. Many women with bacterial vaginosis have no symptoms and only discover they have it during a routine gynecologic exam.• Trichomoniasis - Trichomoniasis is a sexually transmitted disease that is caused by a single-cell parasite. It can cause vaginal itching, burning, and soreness of the vagina and vulva, as well as burning during urination. Many women with trichomoniasis do not develop any symptoms.
Symptoms of Vaginitis• Vaginal discharge• Vaginal odor• Foul-smelling vaginal discharge• Watery vaginal discharge - for allergic vaginitis• Vaginal irritation• Vaginal itching• Itching vulva• Red vulva• Vaginal discomfort• Urination discomfort• Sexual intercourse discomfort• No symptoms - not all cases of vaginitis have symptoms
Treatments:• Antibiotic medications are used to treat vaginitis due to sexually transmitted diseases caused by bacteria, such as chlamydia, or by the parasite trichomoniasis.• Antifungal creams or pills are used to treat vaginitis caused by a yeast infection.• Antiviral medications are used to treat vaginitis due to genital herpes. These medications can help to minimize the irritation and pain caused by herpes in the vaginal area.• Treatment of a noninfectious vaginitis caused by a sensitivity or allergy to a certain substance includes avoiding exposure to the substance. Topical creams may be prescribed to ease the discomfort of itching and burning.
Prostate Cancer• Prostate cancer is a form of cancer that develops in the prostate, a gland in the male reproductive system. Most prostate cancers are slow growing; however, there are cases of aggressive prostate cancers. The cancer cells may metastasize (spread) from the prostate to other parts of the body, particularly the bones and lymph nodes. Prostate cancer may cause pain, difficulty in urinating, problems during sexual intercourse, or erectile dysfunction. Other symptoms can potentially develop during later stages of the disease.
Symtoms of Prostate Cancer• Urinary hesitancy (delayed or slowed start of urinary stream)• Pain with urination• Pain with ejaculation• Lower back pain• Pain with bowel movement• Excessive urination at night• Urinary leakage (incontinence)• Bone pain or tenderness• Blood in the urine (hematuria)• Abdominal pain• Low red blood cell count (anemia)• Unintentional weight loss
Treatments:• The appropriate treatment for prostate cancer is not clear. Treatment options vary based on the stage of the tumor. In the early stages, talk to your doctor about several options including surgery, radiation therapy, or, in older patients, monitoring the cancer without active treatment.• Prostate cancer that has spread may be treated with drugs to reduce testosterone levels, surgery to remove the testes, or chemotherapy.• Surgery, radiation therapy, and hormonal therapy can interfere with sexual desire or performance on either a temporary or permanent basis. Discuss your concerns with your health care provider.