Podcast
Questions and Answers
What is a typical response time for a woman to progesterone?
What is a typical response time for a woman to progesterone?
What does a response to progesterone indicate?
What does a response to progesterone indicate?
What may be administered to a woman to observe her response?
What may be administered to a woman to observe her response?
What is the primary purpose of observing a woman's response to progesterone?
What is the primary purpose of observing a woman's response to progesterone?
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What may be inferred about a woman who responds to progesterone?
What may be inferred about a woman who responds to progesterone?
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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.
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Description
This quiz covers the treatment of hyperprolactinaemia in women, specifically the use of dopamine agonists to resume ovulation and menstruation.
