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7 Cards in this Set

  • Front
  • Back

4 classes of contraceptive steroids

Estrogens


Agonists for nuclear ERalpha and ERbeta


Progestogens


Agonists for nuclear PRalpha and PRbeta

Estrogens drugs

Physiological


Estradiol


Estriol


Synthetic


Ethinylestradiol


Diethylstilbestrol (DES)


Mestranol

Agonists of nuclear ERalpha and ERbeta mode of action

Suppress GnRH , LH , FSH


Acts as mitogen


Induce proliferation of breast and endometrial cells

Progestogen drugs

Physiological


Hydroxyprogesterone


Medroxyprogesterone


Dygesterone


Synthetic : derivatives of Testosterone


2nd gen: norethisterone, norgestrel, ethnodiol


3rd gen: desogestrel, gestodene

Agonist for nuclear PRalpha and PRbeta

Suppress GnRH , LH , FSH


THICKEN cervical mucus cells


Stop sperm getting into uterus


Endometrial deciduation: thickening of endometrium: blocks implantation

Estrogen only contraceptive pills ??

Discontinued


Caused cancer

COCP

Estrogen + progestogen


Ethinylestradiol + synthetic progestogen


21/28 days


7 days withdrawal bleeding