HUMAN ANATOMY+PHYSIOLOGY-ACCESS(IAC)
11th Edition
ISBN: 9780134788784
Author: Marieb
Publisher: PEARSON
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Chapter 27, Problem 4CCS
23-Year-Old Female with Menstrual Irregularity
Jasmine Herrera, 23, has been referred to the endocrinology clinic. She is very overweight, with obvious acne and facial hair. She complains of irregular menstrual cycles. “My husband and I want to use the rhythm method," she says, “but I don’t have any rhythm!”
4. Jasmine thinks that having so many follicles means she is extremely fertile. Is her assumption correct?
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A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy.
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What is the rationale for using danazol, a gonadotropin inhibitor?
A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy.
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Why do you think oral contraceptives could also be used as a treatment?
Chapter 27 Solutions
HUMAN ANATOMY+PHYSIOLOGY-ACCESS(IAC)
Ch. 27 - Prob. 3RQCh. 27 - 2. The usual site of embryo implantation is (a)...Ch. 27 - 4. Which of the following is correct relative to...Ch. 27 - 5. Secondary sex characteristics are (a) present...Ch. 27 - 6. Which of the following produces the male sex...Ch. 27 - 7. Which will occur as a result of nondescent of...Ch. 27 - Prob. 1RQCh. 27 - 9. Relative to differences between mitosis and...Ch. 27 - 10. Match the key choices with the descriptive...Ch. 27 - Prob. 12RQ
Ch. 27 - FSH is to estrogens as high levels of estrogens...Ch. 27 - 13. Which of the following does not add a...Ch. 27 - Prob. 11RQCh. 27 - Prob. 14RQCh. 27 - Prob. 15RQCh. 27 - Prob. 21RQCh. 27 - Prob. 16RQCh. 27 - Prob. 17RQCh. 27 - Prob. 18RQCh. 27 - Prob. 19RQCh. 27 - Prob. 20RQCh. 27 - 1. Gina Marciano, a 44-year-old mother of eight...Ch. 27 - Grant, a sexually active adolescent, visited his...Ch. 27 - Prob. 24RQCh. 27 - Prob. 25RQCh. 27 - Prob. 26RQCh. 27 - Prob. 1CCSCh. 27 - 23-Year-Old Female with Menstrual...Ch. 27 - Prob. 3CCSCh. 27 - 23-Year-Old Female with Menstrual Irregularity...Ch. 27 - 23-Year-Old Female with Menstrual Irregularity...Ch. 27 - 23-Year-Old Female with Menstrual...
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- Samira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. If Samira still wishes to become pregnant, which treatment option may decrease her symptoms while allowing fertilization and implantation of an ovum? Progestin therapy Depo-Provera Estrogen-Progesterone patch Conservative surgeryarrow_forwardSamira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. List and describe 3 lifestyle or at-home treatments that may help Samira reduce her symptoms.arrow_forwardSamira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. Why would Samira’s dysmenorrhea symptoms decrease when taking birth control pillarrow_forward
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- I need quick responsearrow_forward\ Samira is a 26-year-old female with a history of intense dysmenorrhea. She experienced menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned, and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. List and briefly describe 3 risk factors Samira has for endometriosis.arrow_forwardWomen aged 37 years, she smokes 20 Ciggerates per day, Among them which hormonal contraceptives you recommend for this women? Support your answer why you recommend? Please shortly answer at your own easy words. Answer should be to the point. 1) 50 mcg estrogen preparations. 2) sub 50 mcg multiphasic preparations. 3) Progesterone preparations.arrow_forward
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