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step2ck_form6/Block 1/Question#22 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Decreased androgens ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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submitted by โˆ—carolebaskin(95),
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oAnsrgnde ear eeslbrnsipo orf diibol in obht eex!ss

,oslA t'anc eb egtoerns aesucbe tr'yehe on THR dna vnaaig si mtsoi dan rta,dgeu itdnigcian eetqauad eogrnest

jlbae  "Androgens are responsible for libido in both sexes!" This is why you can give testosterone for arousal disorders +3  
drdoom  Thereโ€™s a great This American Life ep. all about this +2  
daisy19  Am I the only one who got this wrong because of the incredibly poor grammar? "Which of the following is the most likely cause of these findings?" Technically speaking, they were just discussing the PE which showed a moist, well rugated vagina. So I assumed they wanted to know what was causing that. +1  

submitted by โˆ—sugaplum(453),
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shti eno si thgou ubt sthi is htwa I am ikhni.tng If oyu oolse yuro aivsrOe you eolso yuro aomrj cousre fo g.nteseor Oenc yuor lcarepe htta ,rlolya yuo iwll evah cxeses rgontese itfgnlao in het dyob. htat ilwl go sthu onwd oyur AHP ix,as so ryuo hreto dnsagnero illw wno be edecadser &;g-t- wol bdiilo

lindasmith462  per UTD: "Oral estrogens also increase sex hormone-binding globulin (SHBG) more than transdermal preparations, which results in lower free testosterone concentrations. This could theoretically result in a negative impact on libido and sexual function, but this has not been proven" +1  
lindasmith462  sorry for the double comment - so in addition to the oral estrogens and the decreased testosterone production from a BSO - these decreases in androgens are not consistently related to decreased libido. Overall androgen hormone levels and decreased libido in women have no or weak associations in the current literature. treatment with androgens has had some promising results but has not been consistent. So this test question isn't wrong but it isnt right either. Long story short the data on this is consistently inconsistent, including on the psychologic factors impacting libido post TAH/BSO +1  

And this is why one of the side effects of OCP is decreased libido!

+2/- qfever(60),

submitted by โˆ—step_prep7(20),
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  • ieaOrsv nto nloy coudepr ogsrete,ns ubt soal duecorp sagorendn that play a naelctr elor ni ilodbi oa(mng other nt)shig


submitted by sizario(1),
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woh emco isth odl'utcn be cedeserda ?HSF e'snDot oesrtegn evah eaigtevn fkbeceda no F/SHL?H

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