Compléter Reproduction IIVersion en ligne Reproduction par Jennifer Mauck 1 Menopause occurs later in the female reproductive cycle as a result of decreased production . When estrogen decreases , increases in response causing flashes , swings , and breast atrophy . Females may also experience changes in and dyspareunia , and they are at an increased risk for and skeletal conditions like heart attack and . Interventions for menopause include overall promotion , and a heart healthy , rich diet ; weight bearing should also be promoted . Hormone replacement therapy is used cautiously as it increases risk for heart attack and . Natural supplements like and black cohosh are often used , but research does not necessarily support their effects . is a condition where uterine tissue develops outside the uterus and causes pain , pressure , and inflammation . Effects of endometriosis can cause concerns as well as damage to organ tissues ; treatment may be necessary . STI's are concerning for patients as they can cause life threatening or permanent to the reproductive system . They are also very concerning during pregnancy as they can harm fetal or even cause fetal death . While STI's can cause various concerns , chlamydia often causes severe or pneumonia in the newborn . Gonorrhea is known to cause , while syphilis can cause stillbirth , and HPV can cause laryngeal . To ensure the best circumstances during pregnancy , and early detection of concerns is emphasized . Nurses should perform detailed health histories that include questions about sexual history , history , and history . Nurses should also ask about family health history and pay close attention to the health history of the patient's .