Unit 7 - Female Reproduction Case Studies Flashcards Preview

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Flashcards in Unit 7 - Female Reproduction Case Studies Deck (7)
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1
Q

what is menopause typically diagnosed by?

A

rise in circulating FSH

2
Q

why doesn’t ovulation occur in polycystic ovary syndrome?

A

no dominant follicle emerges, although multiple primordial follicles are present
-many cysts in ovaries may prevent maturation during follicular phase

3
Q

what is PCOS characterized by?

A
  • reduced estrogen by granulosa cells
  • reduced progesterone by granulosa and thecal cells
  • continued production of androgen by thecal cells throughout the cycle
  • irregular/absent menses (have thin endometrial tissue)
4
Q

what are treatments for PCOS?

A
  • birth control (estrogen and progesterone) to restore menses
  • Clomiphene to restore ovulation
  • 5-alpha-reductase inhibitors to block testosterone –> DHT
  • weight loss to control abnormal blood glucoes and diminished insulin sensitivity
5
Q

what is the “leading theory” for endometriosis?

A

retrograde menstruation

6
Q

what is the most dangerous region for rupture during ectopic pregnancies?

A

interstitial area ruptures at 12-16 weeks gestation

-this is closest to the arteries, so there is a greater risk for massive hemorrhage

7
Q

what are treatments for ectopic pregnancies?

A
  • single doses, or series of methotrexate

- laparoscopy and salpingectomy

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