The most common gynacological disorder

Spasmodic dysmenorrhea

A condition of unrealistic interpretation of the physical signs or sensation

Causes of primary dysmenorrhea

Laparoscopic transection of uterosacral ligament is a TTT for primary dysmenorrhea

Severe colicky pain associated with sever backache followed by passage od Endometrial cast usually triangular in shape

Causes of secondary dysmenorrhea

Pain occurs at ovulation

Endometriosis pain

Endometriosis pain is called crescendo-decrescendo pain

In case of climacteric: the sub ventricular nucleus of hypothalamus undergoes marked hyperplasia in 1/3 cases, and moderate hyperplasia in another third.

Anatomical changes of ovaries in menopause

IN Premenopausal phase the breasts decrease on size

The genital tract changes during menopause

The endometrium retains the ability to respond to estrogenic stimulation after menopause

The metabolic changes during menopause include high LDL and low Ca

Hot flashes

The innervation of bladder is