Download - Rei part ii
Variations on a ThemeHormones In Real Life
7 year old with breast budding & leukorrhea
AGE Normal or abnormal ?
SEQUENCE of puberty?TIME frame?HORMONE culprit?TREATMENT options?
16 year old with amenorrhea
Age- Normal or abnormal?
Sequence?Time Frame?Hormone issues?Treatment Options?
20 year old with PMSPROGESTERONE
Made by the corpus luteum
Bloating/ constipation
HeadacheMood changesAcneFatigue
PROSTAGLANDINSMade by the
endometriumCrampsNausea/ diarrhea
31 y/o desiring pregnancyBasics:
EggsSpermMust get togetherProgesterone
Tests?Treatments?
37 y/o with irregular periodsFrequency?Duration?Total Volume?Causes?
Form (anatomy)Function (hormonal)
Tests?Treatment Options?www.asrm.org
42 y/o with increased facial hair
Pattern?Hormonal
cause?Sources?Tests?Treatments?
45 y/o G4 P3 with decreased libido“Female sexual desire is
highly contextual & discontinuous throughout a woman’s lifetime. Desire and response ebb & flow & are dependent on current contextual & relationship variables, as well as historical, biographical, & hormonal factors.In contrast, male sexual
desire generally remains fairly constant.”
52 y/o with ostepeniaUrogenital tissues
Vagina (pH)BladderSexual fctn
Bone lossRisk factorsTreatment
Hot flashes
What to DO???
Assessment and Plan for MOMRisk factors:
Female age>50 menopausal smoker low BMIFamily history ethnicity corticosteroids vitaminD EtOH (>3/d) Prev osteoporotic fracture Rhem Arth
Screening:What? When?
Lifestyle recommendations:________________________________________________________________
Prevention/ Treatment:Estrogen yes no why? _______________________SERM yes no why? _________________________Bisphosphonate yes no why?___________________
Follow-up:_____________
Thanks !