64: Female Reproductive Case Studies Flashcards
Menapause = increased risk of ______, ________, & _______.
Menapause = increased risk of cardio disease, osteoporosis, alzheimers.
Menopause is diagnosed clinically by a rise in _____ because it is more dramatic. The rise in FSH is much _____ than LH.
Menopause is diagnosed clinically by a rise in FSH because it is more dramatic, not LH. LH rises too, but there is no test for it. The rise in FSH is much larger than LH.
Puberty = pulsatile GnRH secretion initially @ _____ & then during the _____. Puberty starts w GnRH. Release of gonadotropins is inhibited by low numbers of sex steroids.
Puberty = pulsatile GnRH secretion initially @ night & then during the day. Puberty starts w GnRH. Release of gonadotropins is inhibited by low numbers of sex steroids.
Diagnosis of hypothalamic amenorrhea is obtained by an increase in ____ & _____ after GnRH injection.
Diagnosis of hypothalamic amenorrhea is obtained by an increase in FSH & LH after GnRH injection.
In polycystic ovary syndrome, _____ dominant follicle emerges & ovulation does not occur. It is a common cause of infertility.
There is reduced _____ production by granulosa cells. Reduced progesterone production by thecal cells. Continued production of androgen by the thecal cells throughout the cycle (gives high _____ levels), & irregular or absent menses.
In polycystic ovary syndrome, no dominant follicle emerges & ovulation does not occur. It is a common cause of infertility.
There is reduced estrogen production by granulosa cells. Reduced progesterone production by thecal cells. Continued production of androgen by the thecal cells throughout the cycle (gives high testosterone levels), & irregular or absent menses.
Treatment for polycystic ovarian syndrome = _____ control pills, clomiphene to restore _____, 5-a-reductase inhibitors to block conversion of test to ______ Test, weight _____ to control abnormal glucose & diminished insulin insensitivity.
Treatment for polycystic ovarian syndrome = birth control pills, clomiphene to restore ovulation, 5-a-reductase inhibitors to block conversion of test to Dihydroxy Test, weight loss to control abnormal glucose & diminished insulin insensitivity.
________osis occurs when tissue from the uterine endometrium spreads to the peritoneal cavity, often around the ovaries. It has a proliferative & secretory phase. Is associated with infertility. It is caused by retrograde menstruation.
Endometriois occurs when tissue from the uterine endometrium spreads to the peritoneal cavity, often around the ovaries. It has a proliferative & secretory phase. Is associated with infertility. It is caused by retrograde menstruation.
In Ectopic pregnancy the interstitial area ruptures @ 12-16 weeks & it is @ risk for massive _____ since it is close to high blood supply.
There is ____ fetal development, ____ HCG, inadequate fetal nutrition-blood supply-and placental development.
Treatment of eptopic pregnancy = give _____ & give _____ & ______ (remove the whole tube) = abort.
In Ectopic pregnancy the interstitial area ruptures @ 12-16 weeks & it is @ risk for massive hemmhorage since it is close to high blood supply.
There is abnormal fetal development, normal HCG, inadequate fetal nutrition-blood supply-and placental development.
Treatment of eptopic pregnancy = give methotrexate & give laparoscopy & salpingectomy (remove the whole tube) = abort.
