Steroids and Hormones Flashcards

(69 cards)

1
Q

What is a hormone?

A
  • A substance that is released from one type of cell and exerts its’ influence on another type of cell
  • Releasable into the blood stream
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2
Q

What must a hormone do to be considered a hormone?

A

travel some distance to the target site (is a messenger)

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3
Q

What hormone(s) does the hypothalamus release?

A

gonadotropin-releasing factor (GnFR) hormone

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4
Q

What hormone(s) does the pituitary gland release?

A
  • follicle stimulating hormone (FSH)
  • lutenizing hormone (LH)
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5
Q

What do the ovaries release?

A

estrogen and progesterone

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6
Q

What does HPG (axis) stand for?

A

hypothalamic-pituitary-gonadal axis

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7
Q

In which order do the phases of the menstrual cycle occr?

A

Follicular, Ovulation, Luteal, Menstruation

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8
Q

How long is the menstrual cycle?

A

monthly cycle around 28 days

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9
Q

What happens to hormones during the follicular phase?

A

estrogen levels peak

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10
Q

What happens to hormones during the ovulation phase?

A

estrogen decreases

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11
Q

What happens to hormones during the luteal phase?

A

high progesterone

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12
Q

What happens to hormones during menstruation?

A

estrogen and progesterone low

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13
Q

What does taking birth control (contraceptives) do to the menstrual cycle?

A

changes hormonal fluctuations

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14
Q

What were oral contraceptives from the 60s like?

A
  • Excessive amounts of estrogen (100-150mg) and progestin
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15
Q

What is progestin?

A

synthetic progesterone

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16
Q

What happened in the 90s with oral contraceptives?

A
  • the optimal balance was acheived (30-35 mg)
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17
Q

What is the optimal amount of estrogen in an oral contraceptive?

A

30-35 mg

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18
Q

How do oral contraceptives work?

A
  • fixed combos of estrogen and progesterone
  • blocks release of FSH and LH
  • no ovulation
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19
Q

What is in oral contraceptives to block the release of FSH?

A

estrogen

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20
Q

What is in oral contraceptives to block the release of LH?

A

progesterone

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21
Q

What is in multiphasic oral contraceptives?

A

constanct amount of estrogen with variable amounts of progesterone

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22
Q

What is unique about multiphasic birth control?

A

reduces total hormone content

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23
Q

What is one of the most commonly prescribed prescription pills?

A

birth control

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24
Q

What percent of high school students report using birth control pills at most recent intercourse?

A

around 20% (slightly more women than men)

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25
What is contraception?
act of preventing pregnancy
26
# Other types of contraception Mini pills
* constant p amount * thickens cervix mucus
27
# Other types of contraception Seasonale
* estrogen and progesterone * taken consistently for 3 months followed by one week of inactive pills
28
# Other types of contraception Lybrel
* Estrogen and Progesterone * low dose combo pill * taken 365 days a year
29
What types of contraception are slow-release, long-lasting combo of synthetic hormones?
* injections * birth control patch * vaginal ring * Intrauterine device
30
What are depo-provera and lunell?
contraceptive injections
31
What are ortho evera and xulane?
birth control patch
32
What kind of contraceptive are injections, birth control patch, vaginal ring, and intraceptive device?
slow-release, long lasting combo of hormones (synthetic)
33
When is it Plan B taken?
immediatley after unprotected sex | over the counter!
34
What is in plan b, and what does that do?
* high dose progestin * prevents ovulation, fertilization, or implantation
35
Plan B will terminate an existing pregnancy T/F
* False * but could be harmful to fetus
36
What is Mifepritone (RU-486)?
morning after pill
37
What is Mifepristone (RU-486) (compound)?
progesteron antagonist
38
When is Mifepristone best used?
* best used before fertilized egg attaches to uterus * can also detach trophoblastic tissue up to 49 days after fetilization
39
Up to how many days can mifeprstone detach trophoblastic tissue?
49 days after fertilization
40
What is normally given with Mifepristone? Why?
* prostaglandin * helps with contractions
41
What are the side effects with taking low doses of contraceptives?
* Resemble those of early pregnancy * nausea * headaches/dizziness * breast discomfort * weight gain * depression and mood swings
42
What are the side effects of taking high dose contraceptives?
* cardiovascular risks * cancer risks * diabetes * adverse effects on fetus
43
What is the caveat with depression/mood swings as a side effect of low dose contraceptives?
mood swings associated with natural cycles can be improved by oral contraceptive use
44
What are steroids?
group of compounds related to the "male" sex hormone testosterone
45
What are the medical uses of steroids?
delayed puberty, burn, or wasting victims
46
Why are steroids misused?
they enhance athletic performance and increase muscle mass
47
What happened in the 1960s regarding steroids?
steroid use was rampant and semi-accepted in the sports world
48
What happened in the 1970s regarding steroids?
50-90% of football players were on steroids
49
What happened in the 1980s regarding steroids?
olympic testing for steroids
50
What happened in the 90s regarding steroids?
anabolic steroid act: made steroids a schedule 3 drug
51
What happened in the 2000s regarding steroids?
* BALCO (Bay Area Laboratory Co-operative), biggest doping scandal in sports history * likely in most sports, but MLB brought it to the public eye ## Footnote Also lance armstrong (cyclist) caught doping
52
How are steroids administered?
* oral, absorbed in intestine * intramuscular injection
53
How are steroids distibuted?
* rapidly distributed in the blood * stored in fat
54
How are steroids metabolized?
rapidly in the liver
55
# metabolism What are steroids most active metabolite?
androstenedione (precursor to testosterone) | also metabolize to estrogen
56
What excretes steroids? How long are they detectable for?
* kidney excretes steroids * detectable 4-14 days or up to 1 year
57
What parts of the body experience side effects from steroids?
* Liver * Cardiovascular system * reproductive systems
58
# Side effects What do steroids do to the liver?
tumors and hepatitis from shared needle use
59
What are the side effects of steroids on the cardiovascular system?
increased low density cholesterol... leads to high BP, heart attack, stroke
60
What are the side effects of steroids on the female reproductive system?
loss of period and breast reduction
61
What are the side effects of steroids on the male reproductive system?
testicular shrinkage, reduced sperm count, breast growth
62
What are steroids mechanism of action?
* Once in the blood it passes through cell walls and attaches to the steroid (androgen) receptor inside cells * Has genomic actions, alters the expressions of particular genes
63
How long does it take to experience the psychological effects of steroids?
delayed onset of action, days-weeks
64
How do steroids affect mood?
euphoria, irritability, aggression, depression (withdrawal from chronic use)
65
Other than mood changes, what are the psychological effects of steroids?
* sleep problems * loss of appetite * reduced sexual desire * some evidence of tolerance; psychological reinforcement may be culprit
66
How do hormones affect mood?
* can enhance mood * too little=depression * too much=anxiety/aggitation
67
How do hormones affect cognition?
hormones may enhance some cognition (working memory, spatial) and impair other forms of learning
68
What are hormones and steroids that have effects on the brain?
* neurohormones * neurosteroids
69
What can neurohormones/neurosteroids do?
* modulate/alter the function of various receptors as PAMs * includes: GABA, Glutamate, Acetylcholine, and serotonin