Sex Hormones Flashcards

1
Q

What hormone rises significantly and falls back down to a low level in the first 3 months of pregnancy

A

Human chorionic gonadotrophin

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2
Q

wHat could effect the levels of active hormones

A

Condition effecting gut and liver

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3
Q

What hormonal contraceptives types could be given

A

Progesterone only or estrogen and progesterone combination

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4
Q

What are the routes of contraception

A

1- Oral
2- injection
3- implant
4- intrauterine

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5
Q

What is 1st line contraception and why

A

Combines estrogen and progesterone because of positive effect it had on periods

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6
Q

Give drug example of estrogen progesterone combination

A

Micogynon

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7
Q

What are the routes of administration for estrogen progesterone pill

A

1- Mainly oral
2- patches
3- vaginal rings

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8
Q

How many days are patients on combines estrogen and progesterone

A

21 days and 7 days break

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9
Q

Contraindications of Estrogen and progesterone ( COCP )

A

1- Migraines with aura
2- heavy smoking ( 15+ cigs )and over 35 years old
3- Breast feeding ( less than 6 weeks post delivery )
4- Uncontrolled hypertension ( > 160/100 )
5- history of VTE, cardio, cerbrovascular disease , current breast cancer

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10
Q

How long are progesterone pills taken

A

Taken continuously , no break

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11
Q

Side effects of progesterone

A

1- irregular bleeding / spotting

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12
Q

Give example of progesterone only pills ( POP )

A

Cerelle

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13
Q

How is POP administered

A

Orally or by Injection

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14
Q

What is the injectable form of POP and how long does it last

A

Depo Provera lasting 6 months

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15
Q

What is emergency contraception

A

1- Morning after pill ( up to 120 hrs after )

2- Cooper coil

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16
Q

What are common morning after pill drugs

A

Levonelle and EllaOne

17
Q

When is HRT used

A

As treatment at time of menopause , depending on symptoms. Early or surgical menopause requires HRT until age 50

18
Q

What are symptoms of menopause

A

Vasomotor symptoms ( flushes ) , poor sleep , mood changes , dry skin and hair

19
Q

Urinary symptoms and vaginal atrophy due to menopause could be treated with way

A

Topical Estrogen

20
Q

Why is HRT used if there is early menopause

A

Because of bone maintenance