SOP Flashcards

1
Q

sintoma mas frecuente de SOP

A

esterilidad

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2
Q

como se encuentra la granulas y la teca

A

granulosa poco desarrollada y teca hiperplasica (HIPERPLASIA TECAL)

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3
Q

relación LH y FSH

A

elevada (>2.5)

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4
Q

que se encuentra elevado

A

relación LH/FSH
testosterona libre
DHEA
androstendiona

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5
Q

que se encuentra disminuido

A

SHBG

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6
Q

que se encuentra ausente

A

progesterona

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7
Q

estrogeno que aparece principalmente

A

estrona

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8
Q

dx

A

1 criterio clinico + 1 bioquímico + confirmación ecografica

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9
Q

criterios clínicos

A

anovulacion
hiperandrogenismo
infertilidad

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10
Q

como esta la curva de temperatura

A

monofónica (no hay elevación de temperatura por falta de progesterona)

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11
Q

criterios ecograficos

A

12 o > folículos que midan 2-9 mm y volumen ovárico de 10 ml

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12
Q

tx primario

A

bajar de peso y metformina

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13
Q

tx en px que no quieran gestar

A

ACO +/- antiandrogenicos

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14
Q

ejemplo de antiandrogenicos

A
espirinolactona
ciproterona
cimetidina
finasteride
dexa
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15
Q

tx en px que quieren gestar

A
  1. clomifeno
  2. gonadotrofinas
  3. drilling ovarico
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16
Q

riesgo de gonadotrofinas

A

riesgo de hiperestimulacion ovarica