JAN WHITEFIELD UTERINE BLEEDING CASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA.

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JAN WHITEFIELD UTERINE BLEEDING CASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA

HORMONE INTERACTIONS E1, E2, E3: Estrone, Estradiol, Estriol Ethinyl estradiol Premarin: pregnant mare’s urine concentrate Menstrual cycle hormone fluctations Ovulation kit Endometriosis IVF Treatments

MENORRHAGIA DIFFERENTIAL DIAGNOSIS Endometriosis Neoplasia due to fibroids, polyps, hyperplasia, polyps Iatrogenic Anovulatory bleeding due to preimenopause, adolescence, PCO and hypothalmic dysfunction Hypothyroidism Pregnancy

POLYCYSTIC OVARIAN SYNDROME PCOS Clomid Metformin

IVF IN-VITRO FERTILIZATION BCP’s for 1 cycle to shut down ovary Daily Lupron shots shuts down LH and FSH Then give estradiol

MONTHLY HORMONE CYCLES Follicular and luteal phases of the ovary Proliferative and secretory phases of the uterine lining

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