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Endo - Week 4
Signs and Symptoms
Lower Abdominal Pain
Abnormal Vaginal Bleeding
Referred Shoulder Pain
Endometrial Tissue Outside of Uterus
Glands and Stroma
Most Common in Ovary, Pelvis, Peritoneum and Bowels
"Chocolate Cyst" in Ovary
Endometriosis Symptoms and Treatment
Cyclic Pelvic Pain
30-40% are Infertile
Polycystic Ovarian Syndrome (PCOS) Mechanism
Hyperinsulinemia Increases GnRH Pulse Frequency
Large Increase in LH
Small Decrease in FSH
Increased Androgen Production From Theca-Lutein Cells
Polycystic Ovarian Syndrome (PCOS) Symptoms and Diagnosis
Most Common Cause of Infertility in Women
Enlarged, Cystic Ovaries
LH:FSH Ratio of 3:1
"String of Pearls" on Ultrasound
Polycystic Ovarian Syndrome (PCOS) Treatment
Cyclic Progesterone for Endometrial Protection
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