Honest & Helpful Answers
Any and Everything You Wanted
To Know About Down There
Renaisa S. Anthony MD, MPH
Deputy Director/Assistant Professor
Center for Reducing Health Disparities
College of Public Health
(402) 559-9660
September 15, 2015
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Women’s Health Physician
Women’s Integrative Care (Prevention)
Caring for women & patients for 10+ years
Honor and privilege
Doctor/patient relationship
Backstage pass to the lives of women
Who are you?
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Women
Nurses
Physicians
Public Health Practitioners
Other Health Care Providers
Community Members
Staff Members
Administrators
Students
What are we going to do?
INTERACTIVE PROCESS
your active participation and
engagement is strongly encouraged
and greatly appreciated.
Ensure the moon or sun
doesn’t implode or fall out
of the sky
How comfortable are you saying the
following words?
It’s More Than Anatomy!
VAGINA DIALOGUES:
• Vaginas have been called many names over time.
• They are the gateway to life (childbirth).
• They come in different sizes and shapes (not one size fits all).
• Vaginal health is a part of holistic health, (sexual and reproductive health)
• Vaginas can cause pain and pleasure
• Vagina is not a dirty word or dirty part of your body
• They are often misunderstood!!
• They deserve respect, care and to be called by their rightful name!
It’s More Than Anatomy!
VAGINA DIALOGUES:
• Do you remember the first time you knew you
had a vagina?
• What did you learn growing up about your
vagina?
• What name were you taught to call it?
• What do you currently call it?
• Have you ever seen your own vagina?
Anatomy:
Sexual & Reproductive
http://www.youtube.com/watch?v=xECrwui9Lks
CROSS-SECTION
Figure 28.13
Are you still
there?
Life Course Perspective
The Female Life Cycle
University of Nebraska Medical Center
NO MORE SILENCE
Helpful & Honest Answers
TIME TO TALK:
ANYTHING RELATED TO
WOMEN’S SEXUAL &
REPRODUCTIVE HEALTH
PROCESS:
1) Raised hand questions
2) Bucket Sticky Note Questions
3) We go until time runs out
4) No stupid questions…only stupid
question is one you know the answer to
5) Be respectful of everyone.
You Must See Your
Provider for:
• Any post menopausal bleeding (any at all)
• Foul smelling discharge from the vagina
• Lump(s) in breast (concerning lumps usually do not have pain,
firm, and only on one side)
• Abnormal weight gain or loss, bloating, new irritable bowel
symptoms, night sweats
• Irregular/missed periods
• Fullness or bulging from vagina
• Unbearable pain during intercourse
• Leaking and frequent urination
• Blood in stool (toilet)
• Inability to conceive after 1 year of trying (over 35 over 6 months)
The Doctor/Patient Relationship
History and Physical Examination
Chief Complaint
History of Present Illness
• Past Medical History
• Past Surgical History
• Past Obstetric History
• Past Gynecologic History (detailed)
• Medications
• Allergies
• Social History
• Family History
• Prevention
Time is kinda sorta up
21
Objectives:
1) Explain the anatomy and physiology of the female
reproductive system.
2) Describe pertinent issues related to women’s
sexual/reproductive health over the life span.
3) Identify signs and symptoms that warrant referral to
an Ob/Gyn provider.
Renaisa S. Anthony MD, MPH
University of Nebraska Medical Center
Renaisa.anthony@unmc.edu
402 559-9660