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Old 08-18-2011
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Default menstural pain

A 30-year-old female presents to your office complaining of abdominal pain. She states she gets this pain during her menstrual cycle. Which of the following accurately describes her hormone levels?
A. ↑estrogen, ↑lutenizing hormone, ↑follicle stimulating hormone, ↑progesterone
B. ↓estrogen, ↓lutenizing hormone, ↓follicle stimulating hormone, ↑progesterone
C. ↓estrogen, ↓lutenizing hormone, ↑follicle stimulating hormone, ↑progesterone
D. ↑estrogen, ↓lutenizing hormone, ↓follicle stimulating hormone, ↑progesterone
E. ↓ estrogen, ↓lutenizing hormone, ↓follicle stimulating hormone, ↓progesterone
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Old 08-18-2011
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E. ↓ estrogen, ↓lutenizing hormone, ↓follicle stimulating hormone, ↓progesterone
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Old 08-18-2011
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Quote:
Originally Posted by ricko335 View Post
A 30-year-old female presents to your office complaining of abdominal pain. She states she gets this pain during her menstrual cycle. Which of the following accurately describes her hormone levels?
A. ↑estrogen, ↑lutenizing hormone, ↑follicle stimulating hormone, ↑progesterone
B. ↓estrogen, ↓lutenizing hormone, ↓follicle stimulating hormone, ↑progesterone
C. ↓estrogen, ↓lutenizing hormone, ↑follicle stimulating hormone, ↑progesterone
D. ↑estrogen, ↓lutenizing hormone, ↓follicle stimulating hormone, ↑progesterone
E. ↓ estrogen, ↓lutenizing hormone, ↓follicle stimulating hormone, ↓progesterone


My guess is A)
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Old 08-18-2011
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Default i dont understand the question

is the pain during menstruation, then E
is it ovulation pain (mittel...?), then another option
the question says during the menstrual cycle, i dont get this question
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Quote:
Originally Posted by nativedoc View Post
is the pain during menstruation, then E
is it ovulation pain (mittel...?), then another option
the question says during the menstrual cycle, i dont get this question
pain doesn't mean ovulation
during menstrual cycle menstruation due to lack of all hormones that support superficial layer of endometrium resulting in sloughing of that layer and bleeding
if I am mistaken someone corrects me
so I say D
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Old 08-19-2011
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the correct answer is b
Mittelschmerz is characterized by lower abdominal and pelvic pain that occurs roughly midway through a woman's menstrual cycle. The pain can appear suddenly and usually subsides within hours, although it may sometimes last two or three days.[1] In some cases it can last up to the following cycle. In some women, the mittelschmerz is localized enough so that they can tell which of their two ovaries provided the egg in a given month. Because ovulation occurs on a random ovary each cycle, the pain may switch sides or stay on the same side from one cycle to another.

Ovulation can also be tested by measuring midluteal phase serum progesterone levels. In a classic 28-day cycle, serum is obtained on cycle day number 21 following the first day of menstrual bleeding, or 7 days following ovulation. Levels during the follicular phase are generally <2 ng/mL. Values above 4 to 6 ng/mL are highly correlated with ovulation and subsequent progesterone production by the corpus luteum (Guermandi, 2001). Progesterone is secreted as pulses, and therefore a single measurement is not indicative of overall production during the luteal phase. As a result, an absolute threshold for acceptable progesterone levels has not been clearly established. Nevertheless, Hull and colleagues (1982) have reported that a midluteal progesterone concentration of greater than 9.4 ng/mL is predictive of higher pregnancy rates than those observed in patients with progesterone levels less than 10 ng/mL.
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Old 08-19-2011
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If it's Mittleschmerz, which is caused by ovulation, shouldn't LH level go up to trigger the process?
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Quote:
Originally Posted by Gulara View Post
If it's Mittleschmerz, which is caused by ovulation, shouldn't LH level go up to trigger the process?
i believe LH stimulates progestrone to increase but there is not a significant increase
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