Term
| What hypothalmic hormone is responsible for FSH and LH release? |
|
Definition
|
|
Term
| What is the primary product of the corpus luteum? |
|
Definition
|
|
Term
| What is Kallmann's syndrome? |
|
Definition
| associated with hypothalmic production deficit of GnRH with ansomia |
|
|
Term
| What accounts for approximately half of amenorrhea cases? |
|
Definition
| ovarian defects - turner syndrome |
|
|
Term
| if GnRH levels are elevated where is the defect? |
|
Definition
|
|
Term
| What is the most common cause of secondary amenorrhea in nonmenopausal women is confirmed by what? |
|
Definition
|
|
Term
| What is the most common cause of secondary amenorrhea associated with the hypothalamus? |
|
Definition
| failure of LH surge that is required for ovulation |
|
|
Term
| What drug may aid in ovulation so pregnancy can occur in those with hypothalamic-pituitary axis problems? |
|
Definition
|
|
Term
| Primary gonadotropin deficiency from a pituitary defect is usually caused by what? |
|
Definition
| sheeha's syndrome-pospartum necrosis of the pituitary, a primary or metastatic tumor, or granulomas |
|
|
Term
| What is the most common ovarian defect causing excessive uterine bleeding? |
|
Definition
|
|
Term
| What is the most common cause of abnormal vaginal bleeding? |
|
Definition
|
|
Term
| What is very important in the diagnosis of uterine defects and abnormal vaginal bleeding? |
|
Definition
|
|
Term
| What things should done before initiating hormonal replacement therapy |
|
Definition
1) careful history
2) PX to exclude systemic illness
3) pregnancy test
4) Vaginal smear
5) CBC |
|
|
Term
| What things should done before initiating hormonal replacement therapy |
|
Definition
1) careful history
2) PX to exclude systemic illness
3) pregnancy test
4) Vaginal smear
5) CBC |
|
|
Term
| What therapy usually stops uterine bleeding within a day? |
|
Definition
|
|
Term
| What will patient often state who has PCO? |
|
Definition
| I have never had a normal period |
|
|
Term
| What contributes to excess androgen production in patients with PCO? How is this treated? |
|
Definition
| hyperinsulinemia treat with metformin |
|
|
Term
| What is the most common cause of pubertal onset of irregular periods and hperandrogenism? |
|
Definition
|
|
Term
| What is the standard treatment for PCO? |
|
Definition
|
|
Term
| How do you alleviate hirsutism in PCO? |
|
Definition
1) spironlactone
2) oral contraceptives |
|
|
Term
| what are premenstral cramps caused by and how do you treat? |
|
Definition
| caused by prostaglandins and treated w/NSAIDs |
|
|
Term
| hot flashes are caused by what? |
|
Definition
| declining estrogen levels and vasomotor phenomenon |
|
|
Term
| What hormone levels accompany hot flashes? |
|
Definition
| A rise in LH and decrease in estrogen |
|
|
Term
| What is the most effective agent for prevention of osteoporsis? |
|
Definition
| estrogen replacement therapy - conjugated estrogen |
|
|
Term
| What decreases the risk of endometrial and ovarian cancer by 50%? |
|
Definition
| combined estrogen and progesterone oral contraceptives |
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