X hits on this document

164 views

0 shares

0 downloads

0 comments

19 / 54

REPRODUCTIVE ENDOCRINOLOGY . . . CONT.

drug interactions can occur (can decrease efficacy, e.g. antibiotics necessitate backup method of birth control) • see CPS for individual drugs health benefits • reduces dysmenorrhea, anemia, and helps regulate cycles • reduces likelihood of developing benign breast disease and ovarian cysts • combined estrogen and progesterone OCP substantially reduces risk of ovarian carcinoma • increases cervical mucous which decreases the risk of STDs

Table 4. Side Effects of the Oral Contraceptive Pill

Estrogen Excess

Progesterone Excess

general symptoms chloasma recurrent

monilial vaginitis UTIs reproductive system cystic breast changes breast enlargement uterine enlargement uterine fibroid growth dysmenorrhea cervical extrophy mucorrhea breast swelling cardiovascular system capillary fragility cerebral vascular accident deep vein thrombosis telangiectasia pre-menstral symptom

s

general symptoms hypoglycemia increased appetite decreased libido neurodermatitis acne hirsutism non-cyclic weight gain reproductive system cervicitis moniliasis decreased flow length cardiovascular system hypertension dilated leg veins miscellaneous cholestatic jaundice

bloating dizziness, syncope edema headache (cyclic) irritability leg cramps nausea and vomiting visual changes (cyclic) weight gain (cyclic)

Estrogen Deficiency

Progesterone Deficiency

general symptoms nervousness vasomotor instability reproductive system bleeding and spotting

may be continuous or in first half of cycle no withdrawal bleed atrophic vaginitis genitourinary system pelvic relaxation symptoms

reproductive system breakthrough bleeding and

spotting late: day 10-21 on BCP dysmenorrhea heavy flow and clots delayed withdrawal bleed pre-menstral symptoms bloating dizziness, syncope edema headache (cyclic) irritability leg cramps nausea and vomiting visual changes (cyclic) weight gain (cyclic)

MCCQE 2000 Review Notes and Lecture Series

Notes

Gynecology 19

Document info
Document views164
Page views164
Page last viewedThu Dec 08 14:29:46 UTC 2016
Pages54
Paragraphs1202
Words31307

Comments