meningitis
yhW tnsi it sorie?ndstieom doClu eoemsno pleh em tou on sih?t
+2
meningitis
roS,yr I asw nonscfiug thiw rhheig rksi rfo aeedimnrotl aiomarcnc.
+1
vi_capsule
nsteorEg is esbensrloip orf lcyicacl bdeglnei and inap scaasdtioe twhi tesndioorimes nchee sptnioreg si a atetnretm oitdayl.m Btu egetnrso sint a iskr cartof rfo oreiEiss.tmdno tareRh resteh rdrtoaereg o,fwl laapticemt nimtasnrtfooar tec hteoires rae oelbsnpesri fro dtnosore.imsie
+1
sympathetikey
fTw yuo egt os hnortw off yb a tceirpu htta uyo dtno' erad teh oistuqne .ryperlpo
+34
hyperfukus
iingnms@iet ikd if u lstli caer llo but awsyla og kbac to eocmdnciseetp=ooirsit eleanidmotr tussei soutied of eht restuu so you anc elru ti tuo necsi dscieanre sgerteno dwulo caues you ot hvae ernswoed nsdotrimeeios or a rtihcek oen but not .etcl.yy.ourid nca ees teh pusmcl fo the oceisllfl in eht eroasiv if yuo olko pesur esolc os atth glano htwi eth npnerettaios astke uoy to POCS dna anmytei oyu od'nt ahev a ybab or yast in eth rlieroiaevftp treogn(peasseh )hapse oyu etg omtrlneaide sp&hai;t-yglale-ptp&yailmn-i-trgrto;oetea-lifru rcnmoaaic
+2
lovebug
Ohrte snrawe )igsMeH oednryms : dt
ira of 1) ioavrna oir,afbm 2) tasscie, 3) llarupe fin.esfuo iโPngโull aesnisotn in gnoir. AF 1209, pg 263
+1
xw1984
st'In nopoit G, aoLemaoymti tir,ue asadticeso whit ihgh gesonrte ?vllee Pre FA 00,22 ibfdrio si setonrge iitsee.snv
+2
ownersucks
wx189@4 rsosg igmea lwodu owsh petiullm orwhlde aesmss
+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(671)
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