19/12/12 Flashcards

Endocrine infertility

1
Q

How long can stores of thyroxine last?

A

1 month

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2
Q

Aside from reducing levels of prolactin what else do D2 receptor agonist do?

A

Reduce the tumour size

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3
Q

What are the side effects of somatostatin analogues?

A

Gi effects - Nausea, Diarrhoea and gallstones

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4
Q

What class of compounds are IGF-1 and IGF-2?

A

Somatomedians

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5
Q

What stimulates testosterone production and where?

A

LH in the leydig cells

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6
Q

What does FSH stimulate in males?

A

Sertoli cells in the seminiferous tubules - sperm and inhibin A. Inhibin also has a negative feedback

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7
Q

What are the three phases in the menstrual cycle?

A

Follicular phase
Ovulation
Luteal phase

28 days

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8
Q

Define infertility?

A

Inability to conceive after 1 year of regular unprotected sex

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9
Q

Define Azoospermia

A

Absence of sperm in ejaculate

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10
Q

Define Oligospermia

A

Reduced number of sperm in ejaculate

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11
Q

What converts testosterone to dihydrotestosterone?

A

5a-reductase

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12
Q

What converts testosterone to 17b-oestradiol?

A

aromatase

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13
Q

Clinical uses of testosterone

A
Increases:
Lean body mass
Muscle size and strength
Bone formation and bone mass
Libido and potency

Doesn’t restore fertility

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14
Q

What are the causes of ovarian failure?

A

1) Premature ovarian failure
2) Ovariectomy
3) Ovarian dysgenesis

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15
Q

How do you treat amenorrhoea?

A

Treat the cause (low weight)
Primary ovarian failure - infertile, HRT
Hypothalamic/pituitary disease - HRT for oestrogen replacement, Gonadotrophins

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