Review of Specific Symptoms

The most common symptoms of female genitourinary disease are as follows:

• Abnormal vaginal bleeding

• Dysmenorrhea

• Masses or lesions

• Vaginal discharge

• Vaginal itching Abdominal pain Dyspareunia

• Changes in hair distribution

• Changes in urinary pattern

• Infertility

*Not accompanied by the release of an ovum from the ovaries.

403020-i0

800600

m 400 200

403020-i0

800600

m 400 200

Basal body temperature lU

-200 i00

Width of cervical os

Amount of cervical mucus

Basal body temperature lU

-200 i00

Width of cervical os

Amount of cervical mucus i5

Viscosity

Transparency Fern

Penetration of sperm

12 14 16 18 20 22 24 26 28 _i_i_i_i_i—i_i_i_i—i_i_i_i—i_i_i—

Day of cycle

Figure 19-5 Physiologic changes associated with the menstrual cycle. The numbers 0 to 4 indicate an increasing characteristic of cervical mucus. Notice that ferning, transparency, and penetration of sperm are maximal at midcycle. FSH, follicle-stimulating hormone; LH, luteinizing hormone.

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