5 Questions
What is a typical response time for a woman to progesterone?
Within 2 to 7 days
What does a response to progesterone indicate?
Functional endometrium and estrogen production
What may be administered to a woman to observe her response?
Progesterone
What is the primary purpose of observing a woman's response to progesterone?
To assess functional endometrium and estrogen production
What may be inferred about a woman who responds to progesterone?
She has functional endometrium and is producing estrogen
Study Notes
Hyperprolactinaemia Treatment
- Dopamine agonists can restore ovulation and menstruation in women with hyperprolactinaemia not caused by pituitary adenoma.
Hormone Replacement Therapy
- Combination therapy: 0.625-1.25 mg conjugated estrogens (days 1-25) + 5-10 mg medroxyprogesterone acetate (days 16-25) is a suitable alternative.
Reproductive History
- Important components include: number of pregnancies, lactation intervals, pregnancy losses or terminations, infertility treatment, and uterine instrumentation (e.g., dilatation and curettage).
Visual Field Assessment
- Visual fields should be assessed to detect potential changes in peripheral vision, which could indicate a pituitary tumor compressing the optic chiasm.
Progesterone Response
- A woman typically responds to progesterone within 2-7 days of the last dose, indicating functional endometrium and estrogen production.
This quiz covers the treatment of hyperprolactinaemia in women, specifically the use of dopamine agonists to resume ovulation and menstruation.
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