drugs for female reproductive system Flashcards

(54 cards)

1
Q

what are water soluble binding hormones

A

they bind to cell surface receptors leading in the manufacturing of second messangers

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2
Q

what g proteins do water soluble endocrine hormones active

A

NE, E, oxytocin

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3
Q

what water soluble hormones bind to extracellular receptors

A

insulin and GH

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4
Q

what are lipid soluble endocrine hormones

A

estorgen, testosotrone, progesterone, thyroid hormone, cortisol, aldosterone

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5
Q

what do lipid soluble endocrine hormones act as?

A

transcription factor

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6
Q

what hormones move through the blood stream bound to a transport protien

A

lipid soluble hormones

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7
Q

where is gonadotropin produced

A

hypothalamus

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8
Q

what hormones are produced in the anterior pit

A

luteinizing hormone and follicle stimulating hormone

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9
Q

what steroids increase sex drive, libido, and secondary sexual charactertistics

A

sex steroids such as prigesterone, estrogens, and androgens

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10
Q

hormonal changes during ovarian and uterine cycles; what does the hypothalamus release and what us produced

A

secrrets GnRH and LH and FSH from ant pit

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11
Q

what does the production of LH and FSH do?

A

stimulate follicle maturation

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12
Q

if there is no follicle maturation, what happens

A

there is no ovulation

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13
Q

what does increased estrogen and progesterone production promote?

A

promote endometrial vascularization and thickening

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14
Q

the release of what stimulates ovulation

A

high levels of estrogens

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15
Q

what does the release of high levels of estrogen stimulate

A

surge in LH, FSH

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16
Q

what happens when there is no fertilization

A

GnRH, LH, FSH levels fall, estrogen and progesterone secretion is inhibited and menstruation begins

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17
Q

what is the most potent estrogen and is the major ovarian estrogen

A

estradiol

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18
Q

estradiol

A

arises form the action of aromatoase on testostorone

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19
Q

what is the predominant form of estrogen in menopause

A

estrone

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20
Q

what estrogen is primary circulating in fatty tissues during menopause

A

estrone

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21
Q

when estrogen is stored in fatty tissues what is it stored as?

A

estrone

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22
Q

what is the primary circulating form of estrogen during pregnancy

23
Q

what is the role of estrogens

A
  1. growth and maturation of female reproductive organs, endometrium proliferation and thickening of the vaginal mucosa
  2. female pattern fat depsition
  3. increased bone deposition
  4. increased vascularity of the skin
  5. decreased LDL and increased HDL
  6. increased coagulation
  7. production of thin, clear, watery, and elastic cervical mucus
24
Q

role of progestins

A

these work to thicken mucous, preventing sperm entry

25
what can help the body protect itself from getting pregnant while pregnant
progestins
26
what is the most active endogenous progestin
progesterone
27
what is a combination oral contraceptive
combination of synthetic forms of estrogen and progestin
28
how do combination contraceptives inhibit ovulation
synthetic hormones exploit negative feedback loop, preventing follicle maturation and ovulation
29
low dose of synthetic estrogens and progestins can inhibit what levels
FSH and LH
30
synthetic progestins do what to the endometrieum
make it think and inactive
31
what produces a thick cervical mucus to inhibit sperm migration
synthetic proogestins
32
benefits of combination contraceptives
reduced PMS symptoms, reduction in the risk of certain cancers, decreased risk of ovarian cysts and endometriousis, improvements in bone mineral density
33
what might happen if someone is given too much progestin
increased appetite, weight gain, fatigue, depression, acne
34
what might happen if the levels of progestin are too low
menstrual irregularities
35
what do estorgens increase the risk of
thromboembolic disorders
36
when should you be cautious of prescribing combination contraceptives?
liver issues, migraines with aura, smoking, impaired cardiac function, history of stroke, MI, CAD, thromboembolic disorders
37
what is the function of progestin only contraceptives with the endometrium and mucous
creates a thick and viscous mucus, endometrium is kept in atrophic state
38
forms of progestin only contraceptives
minipill, subdermal implants, depo
39
what are some adverse affects of progestin only contraceptives
greater risk of menstrual irregularities, breakthrough, increased risk of ovarian cysts and breast cancers, increased appetite and fatigue, weight gain
40
greater risk of menstrual irregularities, breakthrough, increased risk of ovarian cysts and breast cancers, increased appetite and fatigue, weight gain are all adverse affects of what
progestin only
41
emergency contraception - plan B
used to prevent unplanned pregnancy related to unprotected sexual intercourse or contraceptive failure
42
side affects of plan b
nausea, vomiting, dizziness, headache, fatigue, diarrhea, abdominal pain
43
what should be administered after taking plan b, due to potential side effects?
antiemetic drug - gravol
44
abortifacients
used to terminate an unwanted pregnancy up to a gestational age of 63 days
45
what is mifepristone
this is a progesterone modulator, blocks the effects of progesterone on the endometrium and myometrium
46
what is misoprostol
prostagladin, induces contractions of the uterine myometrium and cervical dialation
47
what prostagladin, induces contractions of the uterine myometrium and cervical dialation
misoprostol
48
what are side effects of abortificaients
pain, cramping, diarrhea, nausea, emesis, fever, chills, dizziness, weakness
49
what is hormone replacement therapy used to treat?
primary ovarian failure and symptoms of menopause
50
bad menopause symptoms include;
insomnia, hot flashes, vaginal atrophy, mood disturbances, irritability, osteoporosis
51
duavivie - what is it
hormone replacement therapy
52
what is duavive made up of?
estrogen and bazedoxifene
53
what do bazedoxifenes do?
they antagonize the effect of estrogen on the uterus, reducing the risk of uterine cancer, agonist activity on the bone
54
what demonstrates agonist activity on the bone?
bazedoxifene