Rei  part ii
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3rd yr med student seminar, cases in reproductive endocrinology. To follow REI part I

3rd yr med student seminar, cases in reproductive endocrinology. To follow REI part I

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Rei part ii Presentation Transcript

  • 1. Variations on a Theme
    Hormones In Real Life
  • 2. 7 year old with breast budding & leukorrhea
    AGE Normal or abnormal ?
    SEQUENCE of puberty?
    TIME frame?
    HORMONE culprit?
    TREATMENT options?
  • 3. 16 year old with amenorrhea
    Age- Normal or abnormal?
    Sequence?
    Time Frame?
    Hormone issues?
    Treatment Options?
  • 4. 20 year old with PMS
    PROGESTERONE
    Made by the corpus luteum
    Bloating/ constipation
    Headache
    Mood changes
    Acne
    Fatigue
    PROSTAGLANDINS
    Made by the endometrium
    Cramps
    Nausea/ diarrhea
  • 5. 31 y/o desiring pregnancy
    Basics:
    Eggs
    Sperm
    Must get together
    Progesterone
    Tests?
    Treatments?
  • 6. 37 y/o with irregular periods
    Frequency?
    Duration?
    Total Volume?
    Causes?
    Form (anatomy)
    Function (hormonal)
    Tests?
    Treatment Options?
    www.asrm.org
  • 7. 42 y/o with increased facial hair
    Pattern?
    Hormonal cause?
    Sources?
    Tests?
    Treatments?
  • 8. 45 y/o G4 P3 with decreased libido
    “Female sexual desire is highly contextual & discontinuous throughout a woman’s lifetime. Desire and response ebb & flow & are dependent on current contextual & relationship variables, as well as historical, biographical, & hormonal factors.
    In contrast, male sexual desire generally remains fairly constant.”
  • 9. 52 y/o with ostepenia
    Urogenital tissues
    Vagina (pH)
    Bladder
    Sexual fctn
    Bone loss
    Risk factors
    Treatment
    Hot flashes
  • 10.
  • 11.
  • 12. What to DO???
  • 13. Assessment and Plan for MOM
    Risk factors:
    Female age>50 menopausal smoker low BMI
    Family history ethnicity corticosteroids vitaminD
    EtOH (>3/d) Prev osteoporotic fracture RhemArth
    Screening:
    What? When?
    Lifestyle recommendations:
    ________________________________
    ________________________________
    Prevention/ Treatment:
    Estrogen yes no why? _______________________
    SERM yes no why? _________________________
    Bisphosphonate yes no why?___________________
    Follow-up:_____________
  • 14. Thanks !