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11 Cards in this Set

  • Front
  • Back
actions of LH on gonads
Ovaries: prog synthesis
Testis: test synthesis
FSH actions on gonads
Ovaries: prog -> estrogen
Testis: spermatogenesis if enough testosterone
Clomiphene
blocks estrogen receptors in hypothalamus/pituitary; estrogen can't negative feedback; increased pulsation of gnRH -> LH and FSH i.e. hyperstimulates ovaries and induced ovulation
Risk factor for ovarian hyperstimulation syndrome (which is kind of what clomiphene induces)
polycystic ovairan syndrome
when clomiphene fails...
to induce ovulation: excess gonadotropins might counteract the antiestrogenic effects of clomiphene on the ripening follicles and stabilize the postgestational phase post ovulation

effective for inducing ovulation but not achieve pregnancy: might induce ovulation w a better chance of pregnancy
best drug for anovulation
clomiphene (estrogen antagonist in hypo/pit)
drugs to tx hyperprolactienmia
bromocriptine (inhibits prolactin which inhibits menstrual cycle in breastfeeding women)
tx infertility due to hypothyroidism
thyroxine; restores normal menstrual function and enhances fertility

elevated TSH can also provoke secondary hyperprolactinemia that will resolve w thyroxine (no bromocriptine needed)
name for recominant FSH
purified menotropin
name for recombinant LH
chorionic gonadotropin
syntheis progesterone
synthetic progestin