GYN- Mentrual Cycle Flashcards Preview

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Flashcards in GYN- Mentrual Cycle Deck (17)
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1
Q

what is thelarche?

A

breast development

2
Q

what is pubarche?

A

growth of pubic/axillary hair

3
Q

what is menarche?

A

onset of menses

4
Q

hoow soon after thelarche is menarche?

A

~ 2.5 yrs

5
Q

What is the age/timing of puberty?

A
"Always Go (to) The Pub, Men"
7 yo: adrenarch
8: gonadarche
9--
10: thelarche 
11: pubarche/Peak growth
12: menarche
6
Q

what are the tanner stages

A

1: kid
2: buds
3: elevation
4: areolar mound (big nipples)
5: adult

7
Q

what endo things can cuase infertility

A
hypothyroidism (inc TRH/TSH inc PRL which dec GnRH)
hyper PRL (dec GnRH)
8
Q

what is Kallman syndrome

A

congenital dec GnRH

9
Q

at what point in menstrual cycle is E at peak?

A

end of follicualr phase/right before LH surge

smaller inc in middle of proliferative phase

10
Q

what hormone is relatively constant during menstual cycle?

A

FSH, small bump with inc E

11
Q

What do theca cells respond to/make/do?

A

stimulated by LH to make androgens (inc desmolase activity to convert cholesterol to androgens)

12
Q

What do granulose calls respond to/make/do?

A

stimulatef by FSH to inc activity of aromatase which converts androgens to estrogens

13
Q

when is woman in menopause

A

no menses > 12 mos

14
Q

avg age for onset of menopause

A

51

15
Q

how to diagnose menopause

A

elevated FSH

16
Q

how to treat menopause + why treat?

A

lowest dose HRT (E and P) for only 6-12 mos

prevents osteoporosis, relif of smx

17
Q

risks and CI to HRT

A

risks: inc endometrial hyperplasia/cancer

CI: clotting disorders, liver dz, pregnancy, E dept neoplasm (breast and endometrial cancer), undiagnosed vaginal bleedign (endometial ca needs to be r/o)