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Chapter-18 Reproductive Health Nursing

BOOK TITLE: Medical Surgical Nursing

Author
1. Basavanthappa BT
ISBN
9788184486353
DOI
10.5005/jp/books/10522_18
Edition
2/e
Publishing Year
2009
Pages
85
Author Affiliations
1. Govt College of Nursing, Fort, Bengaluru, Karnataka, Government College of Nursing, Bengaluru, Karnataka, India, PhD Guide for Research Work, Govt. College of Nursing, Fort, Bengaluru, Karnataka, India, Govt. College of Nursing, Fort, Bangalore, India, Govt. College of Nursing, Fort, Bangalore, Government College of Nursing, Bengaluru, Karnataka, PhD Guide for Research Work, Govt College of Nursing, Bangalore, Government College of Nursing, Fort, Bengaluru, Karnataka, India, Government College of Nursing, Bengaluru, Karnataka, Government College of Nursing, Bengaluru, Karnataka, India, Raja Rajeswari College of Nursing, Bengaluru, Karnataka, India; Faculty of Nursing, RGUHS, Karnataka, India and Academic Council, RGUHS, Karnataka, India; UG, PG and Doctoral Courses on Nursing, Various Universities; Nursing Research Society of India, New Delhi, India, Trained Nurses Association of India, New Delhi, India; RGUHS, Nursing Teachers Association, Karnataka, India, Raja Rajeswari College of Nursing, Bengaluru, Karnataka, India; Faculty of Nursing; Academic Council, RGUHS, Karnataka, India; UG, PG and Doctoral Courses on Nursing, Various Universities; Nursing Research Society of India; Trained Nurses Association of India, New Delhi, India; RGUHS, Nursing Teachers Association, Karnataka, India
Chapter keywords

Abstract

The reproductive system of both males and females consists of primary (or essential) organs and secondary (or accessory) organs. The primary reproductive organs are referred to a as gonads. The female gonads are ovaries; the male gonads are the testes. The primary responsibility of the gonads is secretion of hormones and production of gametes (ova and sperm). Secondary or accessory organs are responsible for transporting and nourishing the ova and sperm, as well as preserving and protecting the fertilized eggs. The three primary roles of male reproductive system are the Production and transportation of sperm, Deposition of sperm in the female reproductive tract and secretion of hormones. The primary reproductive organs in the male are the testes. Secondary reproductive organs include ducts (epididymis, ductus deferens, ejaculatory duct and urethra), Sex glands (prostate gland, Cowper’s glands and seminal vesicles) and the external genitalia (scrotum and penis). The three primary roles of the female reproductive system are the production of ova (eggs), secretion of hormones, and protection and facilitation of the development of the fetus in a pregnant female. Like the male, the female has primary and secondary reproductive organs. The primary reproductive organs in the female are the paired ovaries. Secondary reproductive organs include ducts (fallopian tubes), the uterus, the vaginal, sex glands (Bartholin’s glands and breasts) and the external genitalia (vulva). Disorders of the female reproductive system can be minor or serious but are usually anxiety-producing and often distressing. Some disorders are self-limited and cause only minor inconvenience to the women; other are life-term therapy. Many disorders are managed by the patient at home, whereas others require ‘hospitalization and surgical intervention. All disorders require that nurse have knowledge, understanding and skill in patient teaching and possible discomfort in discussing and dealing with these disorders. Disorders of the male reproductive system include a wide variety of conditions that usually affect both urinary and reproductive systems. Because these disorders focus on the genitalia, and in some instances on sexuality, the patient may experience anxiety and embarrassment. The nurse must recognize the patient’s need for privacy as well as his need for education. This requires an openness to discuss critical and sensitive issues with the patient as well as effective assessment, management and communication on the part of the nurse. This chapter deals with the assessment of the male and female reproductive systems and also discusses some disorders of reproductive system of both female and males. Which includes vaginitis, cervicitis, bartholinitis, and pelvic inflammatory disease? Premenstrual syndrome, Dysmenorrhea, Amenorrhea, Dysfunctional uterine bleeding, Endometriosis, Uterine prolapse, Fistulas, Fibroids, Endometrial cancer, Prostatitis, BPH, Prostrate cancer, Phimosis, Paraphimosis, Cancer penis, erectile dysfunction, Priapism in males and sexually transmitted diseases. Each disorder presented with etiology, pathophysiology clinical manifestation, diagnosis studies treatment and nursing management.

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