PEER RESPONSE week 2

answer to each classmate 
1 reference per classmate resonse.
4 sentence per classmate response is fine 
classmate 1 

metabolic syndrome among middle-aged women in their fifties.
Metabolic syndrome develops mainly from insulin resistance and is defined as a clustering of several cardiometabolic risk factors that greatly increase the risk of cardiovascular disease (CVD) and type 2 diabetes (Alexander et al., 2017). The syndrome is characterized by the co-occurrence of at least three of the following criteria: hypertension, high triglyceride (TG) levels, low high-density lipoprotein cholesterol (HDL-C) levels, abdominal obesity, hyperinsulinemia/abnormal glucose tolerance, and proinflammatory, prothrombotic state. It is known to increase the risk of chronic disease or mortality in addition to affecting the incidence of coronary artery disease (Kim & Cho, 2020).
classmate 2 
trasgender patient
When a baby is born, their sex is decided based on the physical appearance of their external genitalia (Alexander et al., 2017). The sex is either male or female. Gender identity is an individuals intrinsic sense of being male, female or an alternative gender. Gender is a complex interrelationship between body, identity and social gender. When a persons gender identity does not correspond to their assigned sex, the person experiences gender dysphoria (Alexander et al., 2017). For many years gender dysphoria, and the concept of being transgender was thought to be a mental illness. We now know that gender identity is not a mental health disorder.
classmate 3
vulvodynia and dyparunia.
Dyspareunia is a pain disorder with psychological and biological etiologies. Superficial dyspareunia can be linked with vaginitis, dermatosis, and vulvovaginitis. Deep dyspareunia can result from visceral disorders such as interstitial cystitis pelvic inflammatory disease, endometriosis, adhesions, pelvic congestion, and fibroids. Pain syndromes can possibly overlap and be connected with dyspareunia and vulvodynia, including IBS, fibromyalgia, and musculoskeletal dysfunction. Additional situations that may contribute to the development of dyspareunia include poor vaginal lubrication, vaginal atrophy, and childbirth (Sorensen, et. al, 2018).
classmate4 
 Polycystic Ovarian syndrome

Clinical findings: According to the text from Alexander et al, 2017, it is a clinical diagnosis, so laboratory testing is not required, but some have advocated requiring all three Rotterdam diagnostic criteria be present (hyperandrogenism, oligo-ovulation, polycystic ovaries) before diagnosis is made.