Test 1 Flashcards
What week do male and female morphological characteristics develop?
7th weeks
When does ovarian development begin?
12th weeks
MC cause of 46 XX DSD?
Congenital adrenal hyperplasia
What are androgen insensitivity syndrome at risk of developing?
Malignancy by age 50
Homologous to the male scrotum
Labia majora
Labia major can get ____
Varicosities
What is the treatment for delayed puberty?
Gonadal steroids and wait
What hormone makes the endometrial lining grow and what secretes it?
Estrogen the follicle in response to FSH
What is the hormone that’s responsible for LH and what secretes it and prompts it?
Estradiol and its created from androsteine that was secreted by the theca cells and converted by the granulosa cells.
What is the level for the LH surge?
Estriadiol of 200 pg/mL for 50 hours
What is it that produces HCg?
Trophoblast
What is the MC secondary cause of amenorrhea?
Pregnancy
Congenital GnRH deficiency?
Kallman’s associated w/ anosmia
What is the second MC cause of secondary amenorrhea?
Anovulatory cycles
What is the progesterone withdrawal test?
You have to have a withdrawal of progesterone to have a withdrawal bleed. If you bleed is there a lining, and is the outflow patent?
How long is amenorrhea?
6 months or more
What is the treatment for acute bleeding?
Coc or depo if stable
If unstable/no response then surgery
What is the treatment for chronic bleeding?
NSAIDs, coc to stabilize lining, LVD-IUD if suppresss endo, antifibrinolytic: txa
What drives primary dysmenorrhea?
Prostaglandintreatment for primary
Treatment for primary dysmenorrhea
NSAIDs then coc, progestin-only, long-iud
Presence of endometrial glands and stromatolites outside of normal location
Endometriosis
What is mittelschmerz?
Mid cycle pelvic pan associated w/ ovulation, breast tenderness
