A 23-year-old lady, Jasmine Herrera, is a very overweight lady. She has the problem of acne and facial hair. The lady has been referred to the endocrinology clinic. The lady also suffers from the irregular menstrual cycle. Characters in the case: Jasmine Herrera and the endocrinologist. Adequate information: The lady is overweight having the problem of acne and the facial hair. She has a problem of irregular menstruation. The lady complains to the doctor that she and her husband want to use the rhythm method associated with the menstruation but she does not have any rhythm. To determine: The hormone whichis responsible for the process of ovulation and for the onset of menstruation.

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Chapter 27, Problem 1CCS

Summary Introduction

Case summary:

A 23-year-old lady, Jasmine Herrera, is a very overweight lady. She has the problem of acne and facial hair. The lady has been referred to the endocrinology clinic. The lady also suffers from the irregular menstrual cycle.

Characters in the case:

Jasmine Herrera and the endocrinologist.

Adequate information:

The lady is overweight having the problem of acne and the facial hair. She has a problem of irregular menstruation. The lady complains to the doctor that she and her husband want to use the rhythm method associated with the menstruation but she does not have any rhythm.

To determine: The hormone whichis responsible for the process of ovulation and for the onset of menstruation.

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A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy. Top of Form 1a. What is this condition called? 1b. What causes it?

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