meningitis
Wyh itns it i?srdoinemoest dCoul nmosoee pehl me uot on ish?t
+2
meningitis
ror,yS I aws nsfnicuog wthi gehrih kisr rfo edmnliaerot roinc.maca
+1
vi_capsule
rotsEneg is eopsreslnib for liylccca negledbi nda inap sdtcaisaeo iwht dioiesrntmseo enhec sperngoti is a attneretm tima.oldy Btu egertnso nsti a ksir crotfa rfo rosnimi.Etdsoe aeRthr hetres retdaregro f,low tmlapaceti atnorfrisnotam tec roehsite rae epsorslenbi orf rtois.mosdeein
+1
sympathetikey
fTw uoy get so towrhn off by a cripetu htat uyo ntd'o dear eht uqeitnso .ropeplyr
+34
hyperfukus
gini@inemst kid fi u itlsl erac lol tub alwyas go bcak ot moc=ciisrepeedtinoots dlemoairnet eitssu tdoeisu fo het uetusr so you nca ulre it uot scnie ecedranis nsgetero dwlou sauce you ot aevh snowreed dsesooimtrine or a ctehikr neo but ont yordu.ci..tley can see eht mulcsp fo het flelsicol ni the sviaore if yuo okol eusrp esclo so htta gnalo hitw eth titpeosrenan eskta uoy ot POCS adn mntiyea oyu nt'do veah a bbay or syat ni eht vaelefiiroprt repnasehos(tge e)ahsp you gte laedimetorn i&pgaorept;yspel-th-l-mao;ayl-tigfrt&uneal-iirt acmroncai
+2
lovebug
rehtO nrsawe iH)Mseg nyorsdme : ad
rit fo )1 oiraavn i,bmfaro 2) etis,asc )3 rlealpu nfsf.ueio ilgPโnuโl seiasnnto ni rgon.i AF 0,129 pg 236
+1
xw1984
ntI's oiptno G, iaoLmeaoytm euir,t ieasosdcta htwi hghi gtrseeon lvlee? erP FA 202,0 odbirfi si tesrogen t.sesnivei
+2
ownersucks
@81x4w9 gross amgie oldwu show umtpeill edlhrow ssemsa
+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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