Womens Health Drugs Flashcards
What is the first phase of the ovarian cycle?
Follicular phase
What are the first 2 phases of the uterine cycle?
Menses
Proliferation phase
What is the 2nd phase of the ovarian cycle?
Luteal phase
What is the 3rd phase of the uterine cycle?
Secretory phase
What phase contains the highest levels of progesterone levels?
Luteal/secretory phase
What phase is estrogen increasing?
Follicular/Proliferation phase
What causes LH and FSH to increase at the beginning of follicular phase?
Slow rise in estrogen
What is the MOA of BC how does it effect ovulation?
Large dose of estrogen and progesterone cause a negative feedback to LH and FSH…causing no ovulation
What are the 6 major effects of estrogen on the body?
Increase risk for VTE Increase bone retention Increase in female body contours Cervical mucus thinning Increase risk for endometrial cancer Increase risk for breast cancer
What are the 5 major effects of progesterone on the body?
Increase risk for VTE Increase bone retention Thickening of cervical mucus Increase in alveolar growth Inhibition of uterine contractions
What is RU 486? what is it used for?
Progesterone agonist
Used to abort fetus
What is the major estrogen that comes from the body?
Estradiol
What does the body use to make estrogen and progesterone? What is the basically chemical structure of the sex hormones considered? How does it cross the cell membrane?
Cholesterol
Steroid
Simple diffusion
What are the good factors from taking exogenous estrogen? Bad factors?
Decreases hot flashes
Increases bone retention
Increases cancer risk
Increases VTE risk
What are the indications for Estrogen(7)?
Atrophic vaginitis Hypogonadism BC uterine bleeding Hot flashes Osteoporosis Ovary removal
What is dyspareunia?
Pain during intercourse
What is atrophic vaginitis?
Shrinkage of vagina
What is hypogonadism?
Decrease in the production of estrogen
What are the contraindications for estrogen(5)?
Allergy Estrogen dependent cancer Abnormal vaginal bleed Pregnant VTE risk
What are ADR of estrogens?
VTE N/V chloasma Amenorrhea HA Fluid retention Tender breasts
Which pts are not recommended for estrogen HRT?
Pts with endometrial cancer or breast cancer
What must be assessed in pts who have had several years use of estrogen HRT?
Bone mineral density
What do progestin drugs have in their name?
-gest- or nor-
What are the indications for progestins?
Uterine bleeding Amenorrhea Uterine cancer BC prevention of threatened miscarriage PMS Sx
What can uterine bleeds be caused by?
Hormone imbalance
Fibroids
Uterine cancer