Cedrick
Esculapio
Topics: 324
Posts: 2,058
|
A 31 year old man comes to the physician becacuse of decreased libido
He had viral orchitis 6 months ago
physical examination shows gynecomastia and testicular atrophy
which of the following drugs is most appropiate for long term management of this condition ?
a.-danazol
b.-gonadotropin releasing hormone
c.-human chorionic gonadotropin
d.-sildenafil
e.-testosterone
|
| DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
|
good q.
Viral orchitis is usually unilateral in about 70% of cases,
The question didn't say if the testicular atrophy was unilateral or bilateral
if unilateral, then GnRH would help... If bilateral, then probably Testosterone is a better choice.
-Waiting to hear from the others. 
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
testosterone would be better choice , GnRH can excerbate gynaecomastia
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| nadiabarati
|
e
|
| DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
|
A GnRH analog can work differently if given pulsatile vs. continuous.
Given in a pulsatile manner it will INCREASE FSH and LH and thus increase sex steroids
Given in a continuous manner it will DECREASE FSH and LH and thus decrease sex steroids
I think the question should have been more specific! but anyway, Testosterone is still a better choice because since there is testicular atrophy, you can't stimulate the testes to produce testosterone.
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| Cedrick
Esculapio
Topics: 324
Posts: 2,058
|
I have to agree
E
|
| nadiabarati
|
yes virgo. because of atrophy you need to prescribe testosterone .
|
| docarchana
Forum Guru
Topics: 70
Posts: 515
|
yes,, E....
|
| klimt
Forum Guru
Topics: 27
Posts: 605
|
agree E
___________________
Traveler, there are no roads. Roads are made by walking.
|
|
| |
| | | | | | | | | |
Similar forum topics