meningitis
hWy stin ti oer?nioiemstds oCdlu ensoeom help me tuo on ?tsih
+2
meningitis
S,ryro I saw nofncisug htiw eigrhh sikr orf mroenitaedl aaro.cicnm
+1
vi_capsule
gneotsEr si bieplsrenso ofr lylcicca eidnlegb nad naip sceaiosadt tihw ieemrodniosst hecne pgsirntoe si a tettranem tilyaodm. tuB gneeotsr stni a krsi coftra rfo osdo.mEitrsein Rhtrae etehsr degrtraore ,lwof ecimlttaap rotimnaosnatrf cet ioseerth aer ebspresioln ofr oimretosndise.
+1
sympathetikey
fwT uoy get so whront fof by a iucretp hatt yuo tond' dera eth seqnuiot rye.prpol
+34
hyperfukus
snein@gitmi dik if u sltli cera llo ubt awlsya go bakc to ocmdp=esioroiscetiten eenlmrtodai tiessu sotueid of the usuter os uyo nac leur it uto nesic aeniecdsr tnresego duwlo euacs ouy ot veha rswoened rdssmineooite ro a ctikher eno tub otn cul.od.yityer. nca ese eth psucml fo hte ilocelfls ni eht voirase if oyu oolk urpse lsoec so atht galon wtih hte ropatesitnen kstae you to SOPC dna iemnyat yuo ndt'o hvae a ybab ro tasy ni het olerpiveirfat reeahnsgtseop( pseh)a oyu gte niteoelamrd eeitrmaoa-tit&ge-iiyrol-gslr-ly-ahlfpaput;tn&p; orcicnama
+2
lovebug
ethOr reswan )iHgsMe myednrso : trida
fo 1) iarnaov brofam,i )2 ,sseitac 3) aplurle oisnufef. lligโnโPu saisentno ni .inrog FA 09,12 gp 326
+1
xw1984
nIts' tonoip G, aommeatyioL ,tieur etdcoasisa with hhig greoents elvl?e rPe FA 20,02 bfrdoii is etrngseo estv.einsi
+2
ownersucks
w89@1x4 sgsro ameig ouwdl oswh plmeitlu wroelhd sesmas
+1
I feel the clearest way to understand this question/answer hasn't been stated yet. Recall that the cysts in PCOS are unruptured follicles. If follicles don't rupture, you won't have corpus lutea, which won't secrete progesterone and therefore menstruation won't occur. This leads to unopposed estrogen and disruption of the menstrual cycle, which can cause endometrial hyperplasia.
The patient here is obese and has hirsutism. Her androgens are converted to estrogens in peripheral fat, causing hyperestrogenism.
The exact reason for increased androgens in PCOS is unclear, but it involves an increased LH:FSH ratio. Relative decrease in FSH inhibits estradiol synthesis in granulose cells and favors androgen production in theca cells.
You must be logged in to vote!
submitted by โmcl(671)
It can be re-accessed by making a purchase.
Purchase your membership here
$279$49OSCP si tadcosieas iwht nrbalmoa dcnootuipr fo esx o,risdets inudlcign ntosicnfyud of sgoetenr ocodturnip dan eprno.grsoeet nrchaiolCyl tdvelaee ellsve fo esrnoget nac uesac monladieret aleasrhi.ppy
n/.n../9m1ccPc9/olrw:etivwt7pmini9C//M/halwghs.tsp35b
$279$49