Sexually Transmitted Diseases

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ISSN-1059-6518

By Frank Hubbell, DO

Now what?

We are not rewriting Sex in the Outdoors, published in the 1980’s, but never made into a movie, and we are not trying to define wilderness standards and morals. As the old saying goes, “SEX HAPPENS,” and since sex does happen, as a consequence, so do sexually transmitted diseases (STD’s). The experts are even claiming that the mosquitoborne zika virus can be a sexually transmitted disease, not just between mosquitoes, but in humans as well.

STD’s are some of the most commonly diagnosed and treated communicable diseases on earth. There is nothing special about the wilderness setting to prevent them from occurring. This is simply another aspect of the human condition that we, as trip leaders and professional outdoor guides, have to understand.

As promised in the last WMNL, we will review all of the STD’s with their underlying pathophysiology, symptoms, diagnosis, and treatments.

These various diseases can be divided into three categories based on common sets of symptoms.

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Obstetrics and Gynecology, a Review for Wilderness Providers

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ISSN-1059-6518

By Frank Hubbell, DO

We have written about many different topics in this newsletter, but one of the subjects that we have only once delved into, are the various medical problems associated with the female reproductive system and childbirth.

In this WMND we will remedy that absence of information with a fairly complete review of the female reproductive system, anatomy, physiology, the menstrual cycle, and childbirth. In the next newsletter we will complete that body of knowledge with a review of the sexually transmitted diseases from around the world.

This is an area of medicine that is not unique to the wilderness or extended care environment, but there are many aspects of both leadership skills and providing emergency medical care that deserve special recognition.

OBSTETRICS AND GYNECOLOGY

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MENSTRUAL CRAMPS:


May/June 2010  ISSN-1059-65-18  Volume 23 Number 3

By Frank Hubbell, DO

Menstrual Cramps:

The menstrual cycle is an inherent part of human reproduction. It allows an ova (egg) to be made ready and released from the ovary, while at the same time preparing the uterus for the possibility of the arrival of a fertilized egg. This monthly cycle is controlled by an elaborate dance of hormones: estrogen, progesterone, luteinizing hormone, and follicle stimulating hormone.

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