263. Hirutism, virilism, gynaecomastia and impotance Flashcards
What is hirsutism?
What causes it?
Male pattern hair growth in woman typically familial, idiopathic or due to increased androgen secretion by the ovaries (PCOS) the adrenal glands (cushing’s) or drugs
What is the management of hirutism?
Manage underlying cause
Healthy eating, optimise weight, shaving, wax creams, bleach hair
CCP
What is virilism?
What causes it?
Onset of amenorrhoea, clitoromegaly, deep voice, baldness and hirsutism
Typically caused by androgen secreting or ovarian tumour
What are the differentials for gynaecomastia?
Hypogonadism Liver cirrhosis Hyperthyroidism Tumours Iatrogenic- oestrogens, spironolactone. digoxin, testosterone
What are the causes to erectile dysfunction
Smoking, alcohol, diabetes (big three)
Hypognadism, hyperthyroidsim, increased prolactin
Psycholoogical e.g. stress
Iatrogenic
Damage during procedures
How is erectile dysfunction treated?
Treat cause
Counselling
Oral pDE5 inihibtoors- increase No2 release which causes erections. SE include headache, flushing, dyspepsia
Who shouldnt recieve DP5 inhibitors
Use of nitrates, Bp high or arrhythmias
Unstable angina/stroke
Recent MI
Degenerative retinal disorders