Ethinylestradiol Flashcards

1
Q

Class

A

Oral contraceptive

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2
Q

Actions

A

Prevention of

pregnancy

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3
Q

Mechanism of action

A
Suppresses the
development of the
ovarian follicle by
inhibiting follicle
stimulating hormone
released from anterior
pituitary
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4
Q

Clinical use

A

Prevention of

pregnancy

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5
Q

Adverse effects

A
May cause weight
gain
Flushing
Mood changes
Dizziness
Acne
Skin pigmentation
Risk of
thromboembolism
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6
Q

what is Ethinylestradiol

A

A synthetic derivative of the natural estrogen estradiol

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7
Q

what does Ethinylestradiol interact with

A

the estrogen receptor (Erα or Erβ) present on female organs, breasts, hypothalamus and pituitary gland

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8
Q

what happens after the ligand binding

A

Upon ligand binding, the estrogen receptor enters the nucleus, and regulates gene transcription. This leads to an increase in the hepatic synthesis of sex hormone binding globulin (SHBG), thyroid-binding globulin (TBG), and other serum proteins and suppresses follicle-stimulating hormone (FSH) from the anterior pituitary

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9
Q

what happens during menstruation

A

During menstruation, increased oestradiol levels cause the maturation and release of the egg; as well as the thickening of the uterus lining to allow a fertilized egg to implant

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10
Q

where is Ethinylestradiol mostly made

A

The hormone is made primarily in the ovaries

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11
Q

what happens to levels of Ethinylestradiol as we age

A

so levels reduce as women age and

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12
Q

what happens to levels of Ethinylestradiol as we go through menopause

A

levels decrease significantly during menopause

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13
Q

consequences of too much estradiol

A

Too much oestradiol has been linked to acne, constipation, loss of sex drive and depression

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14
Q

consequences of too little estradiol

A

. Conversely too little oestradiol, retards bone growth and development.

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15
Q

consequences of the correct amount of estradiol in men

A

levels help with bone maintenance, nitric oxide production and brain function.

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16
Q

what is Ethinylestradiol used with

A

Used within the combined oral contraceptive pill.