meningitis
Why inst ti oesnesdiroitm? Cloud eosnome hple em otu on ?siht
+2
meningitis
o,yrrS I asw ousfgincn iwht reihhg irks for dmlnreetaoi cm.ioanacr
+1
vi_capsule
tsEgnreo is ssebpielrno for licccyla eigdbeln and inap asidsteoac hitw oiroesmdneits hceen pogsenitr is a raetenttm otdm.lyai tuB gerosetn nsit a krsi rcatfo orf .rosnomestidEi rRetah ehetsr doerergtar f,lwo ttemlapaci otrstafiarnmon ect rsietheo aer ebpesolrsin fro m.isienrdooset
+1
sympathetikey
fTw ouy gte so howtrn fof by a repucit thta oyu 'tond ader hte soenqitu yrrl.oppe
+34
hyperfukus
i@igetninsm dki fi u stlil ecra lol ubt ywlasa og cakb ot isitiocpooseem=tedrnc eromineldta iuesst suoietd of teh uretus so uyo anc urle ti tou esicn ciesrneda tgneorse udolw uacse you to heav srdoneew oeedionrsmits or a ciehtkr neo ubt ont tyurldi.coy..e cna see hte slumpc fo hte lieocllfs in eth iovrsae if uyo olok usrep lesoc so thta longa whti eth eeniarstotnp tsake uyo ot OSCP nda eytiamn ouy t'ndo aevh a byba or sayt in the ietravlfripoe hraesontg(eesp she)ap ouy teg ermlaioentd rleatr-toylfaurpig&pal;lehity&m;iaspeto---int-g miacrnoac
+2
lovebug
hetOr wnares Meg)siH onymrdes : iradt
fo 1) voarina obfm,rai 2) ,stiscea )3 lrpaule feuf.onsi niโulPlgโ esnoinats ni io.grn AF 1920, gp 236
+1
xw1984
'nIts oitnop G, tyammioeaLo trei,u catseosida twih gihh gteenros ?llvee erP FA 022,0 rfidibo is esoertng seinstev.i
+2
ownersucks
8914w@x sgsor emiga oluwd wosh eumltpil orwdleh assems
+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.
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submitted by โmcl(671)
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$279$49POSC is cosaatised wthi mnraboal rtdnoupioc of xse eitrs,sod niiudcgln nufciyndsot fo gotnseer dtcoropniu adn .nrgeroetsope nlrChyciaol ldteveae eelsvl of onrseegt acn suace ndarlmeoiet saelpy.aphir
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$279$49