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Primary Dysmenorrhea Treatment Options

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Questions and Answers

What is the first line of treatment for primary dysmenorrhea?

Mefenamic acid alone

Metformin

NSAIDs (correct)

Oral contraceptives

What is the effect of estrogen-progestin contraceptives on the endometrium?

It becomes thin over time (correct)

It has no effect on the endometrium

It causes the endometrium to bleed excessively

It thickens the endometrium

Which of the following is a characteristic of PCOS?

High E2 and low LH

High LH and low FSH (correct)

Low insulin levels

High FSH and low LH

What is the effect of hyperinsulinemia on sex hormone-binding globulin (SHBG) in PCOS?

It decreases SHBG Signup and view all the answers

What is the effect of metformin on androgen levels in PCOS?

It decreases androgen levels Signup and view all the answers

Which of the following is a benefit of metformin in PCOS?

It induces ovulation and regular menstrual cycle Signup and view all the answers

Which of the following factors inhibits prolactin secretion by acting on the D2 receptors of lactotrophs?

Dopamine Signup and view all the answers

Which of the following is a cause of hyperprolactinemia?

Hypothyroidism with high TRH Signup and view all the answers

What is the effect of thyrotropin-releasing hormone (TRH) on prolactin release?

Stimulatory effect Signup and view all the answers

Where are prolactin receptors primarily located?

In multiple tissues, including mamillary glands, ovaries, and pituitary gland Signup and view all the answers

What is the mechanism of action of antidopaminergic drugs, such as Domperidone, Metoclopramide, and Sulpiride, on prolactin secretion?

Blocking dopamine, leading to increased prolactin secretion Signup and view all the answers