Variations on a Theme<br />Hormones In Real Life<br />
7 year old with breast budding & leukorrhea<br />AGE Normal or abnormal ?<br />SEQUENCE of puberty?<br />TIME frame?<br />...
  16 year old with amenorrhea<br />Age- Normal or abnormal?<br />Sequence?<br />Time Frame?<br />Hormone issues?<br />Trea...
	20 year old with PMS<br />PROGESTERONE<br />Made by the corpus luteum<br />Bloating/ constipation<br />Headache<br />Mood...
     31 y/o desiring pregnancy<br />Basics:<br />	Eggs<br />	Sperm<br />	Must get together<br />	Progesterone<br />Tests?<...
   37 y/o with irregular periods<br />Frequency?<br />Duration?<br />Total Volume?<br />Causes?<br />Form (anatomy)<br />F...
42 y/o with increased facial hair<br />Pattern?<br />Hormonal cause?<br />Sources?<br />Tests?<br />Treatments?<br />
45 y/o G4 P3 with decreased libido<br />“Female sexual desire is highly contextual & discontinuous throughout a woman’s li...
        52 y/o with ostepenia<br />Urogenital tissues<br />Vagina (pH)<br />Bladder<br />Sexual fctn<br />Bone loss<br />R...
What to DO???<br />
Assessment and Plan for MOM<br />Risk factors:<br />	Female    age>50       menopausal     smoker    low BMI<br />	Family ...
Thanks !       <br />
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Rei part ii

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

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Rei part ii

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

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