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Kaplan Qbank USMLE



Author3 Posts
  #1

A 52-year-old woman comes to the physician because of decreased libido; this symptome began 8 months ago, after she underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy for leiomyomata uteri and menorrhagia. SHe has been taking hormone replacement therapy with conjugated estrogen since the operation. Examination shows a moist, rugated vagina. Which of the following is the most likely cause of these findings?

A) Decreased androgens
B) Decreased estrogen
C) Decreased FSH
D) Decreased LH
E) Decreased progestrone
F) Decreased prolactin
G) Increased androgens
H) Increased estrogen
I) Increased FSH
J) Increased LH
K) Increased progestrone
L) Increased prolactin




  #2

A?

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The Key to Succeed is Patience.

  #3

I think you right, it's A

"The pill makes the body over-produce SHBG, which mops up testosterone, the hormone that drives sexual desire. " (This is the explanation why contacentives lower libido in many women)









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