meningitis
Why stni ti oriinst?eosmed uoCld ooseenm ehlp me tuo no s?tih
+2
meningitis
ryS,or I aws usninofcg hwit ihgrhe rski fro mtoaenidrel ca.oaimcrn
+1
vi_capsule
roseEtgn si obslepirsen rfo ailcccyl egnblide dna naip idtcaessoa iwth stormnesidoei ehnec ngiproets si a nmrtettea amodly.ti uBt osertegn tnsi a kirs ofartc fro etmEdoosiinrs. tRehar tershe trageerord f,low tciteapalm nfitsntaoramro tec heoersti ear espelbisnor ofr riitee.dmsnoos
+1
sympathetikey
Twf uoy tge so wtonhr off by a ctpreui htta yuo tno'd eadr het etousinq rryppelo.
+34
hyperfukus
tnimgiei@sn kdi fi u lltis erac llo tbu swyaal go ckba to seoiireseoicd=mptcotn rnoiedlatme sitsue otisude fo teh suuter os ouy cna elru it tuo seinc aierendcs rotgense uwdol caeus ouy ot hvae esdnoerw esoinotdmrsei or a ketchri oen utb ton iy.udt.yceo.rl cna ese eht splumc fo hte floseicll ni teh iroevas fi uoy olko prues sceol so thta anolg wthi eth nensiartepot kteas uyo to SOPC nad yteamni uoy 'dotn ehva a bbay ro stya in hte iotapivlfreer oshraneepe(sgt ape)hs oyu tge tdilnomerae y-;ltmataiialro-fl-i&rptauhrigeop-ptlt;&eeygns- ccnmiroaa
+2
lovebug
hterO erawns HgM)eis reysnmdo :
itrad of 1) vniraoa ,mrobfai 2) c,esitas )3 uallrpe fenuofi.s โlguPlโin tosnseian ni irno.g FA 092,1 gp 326
+1
xw1984
s'ntI oonpti G, amaioLtoyem etiu,r stoeasaicd hwit hhig gsotener ee?llv ePr FA 20,20 riiofdb is goetsern intie.ssev
+2
ownersucks
48w@x91 sgrso emiag ldouw owsh tlpumiel wldhoer ssesma
+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.
submitted by โmcl(670)
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