Thread Rating:
  • 0 Vote(s) - 0 Average
  • 1
  • 2
  • 3
  • 4
  • 5
Help the lady - neutrophil
#1
A 19-year-old college student comes to the physician because of progressive hair growth over her face and body since the age of 16 years. She also has acne and oily skin. Menses have occurred at 30- to 90- day intervals since menarche at the age of 14 years. She has no history of serious illness and takes no medications. She is 168 cm (5 ft 6 in) tall and weighs 88 kg (193 lb); BMI is 31 kg/m2. Her temperature is 37.2°C (99°F), pulse is 72/min, respirations are 16/min, and blood pressure is 120/80 mm Hg. Physical examination shows coarse, pigmented hair over the chin and upper lip, around both nipples, and along the midline of the lower abdomen. The remainder of the examination, including pelvic examination, shows no abnormalities. Serum studies show:

Fasting glucose 95 mg/dL
Fasting insulin 7.5 μU/mL (N=11“240)
Dehydroepiandrosterone sulfate 3 μg/mL (N=0.5“5.4)
Follicle-stimulating hormone 8 mIU/mL
17α-Hydroxyprogesterone 160 ng/dL (N=20“300)
Luteinizing hormone 10 mIU/mL
Testosterone 4.2 nmol/L (N
Reply
#2
L (N
Reply
#3
L (N
Reply
#4
Which of the following is the most appropriate pharmacotherapy?

a. Bromocriptine
b. Clomiphene
c. Combined OCP
d. Dexamethasone
e. Gonadotropin releasing hormone agonist
Reply
#5
what is the q?
Reply
#6
God knows what happen to forum, its not working properly with submitting. Pls help it along with the lady.
Reply
#7
CC?

Cant think of anything other than PCOD
Reply
#8
aaaa???
Reply
#9
why not clomiphene lucid????????
Reply
#10
Neutro-- If my understanding is correct, unless the woman is trying to achieve a pregnancy, there is no need to use clomiphene. It will not have any added advantages. Regulation of menstruation which is commonly required can be adequately achieved with OCP alone. If the woman wants to get pregnant, then treatment with Clomiphene is the best choice.

Reply
« Next Oldest | Next Newest »


Forum Jump: