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endocrinology management treatment androstenedione aromatase diagnosis differential gynecomastia testosterone workup 17bhydroxysteroid 5a acne affirming aldosterone algorithm cholesterol corticosterone cortisol dehydroepiandrosterone
Gender Affirming Care Modalities of Gender Affirmation • Legal - Can include updating: Birth certificate, Social Security
Modalities of Gender Affirmation ... GnRH antagonists, Estradiol ... Gender #Affirming #Affirmation
This is a quick overview of hormonal acne treatment for the medical student and resident. Keep in
include: Ethinyl Estradiol ... Norgestimate Ethinyl Estradiol ... Iron) Ethinyl Estradiol ... Drospirenone Ethinyl Estradiol ... acetate/ethinyl estradiol
Gynecomastia - Differential Diagnosis a nd Workup Algorithm Gynecomastia is common in clinical practice, affecting ~50% of males
Testosterone, HCG, Estradiol
Anastrozole is a Selective non-steroidal aromatase Inhibitor. Used for the treatment of breast cancer in postmenopausal
to estrone and estradiol ... significantly lowers serum estradiol
Feedback Loop: Prolactin (PRL) • PRL levels exhibit diurnal, menstrual, and age-related variation • TRH has
FSH/LH -> Decr estradiol
PCOS Treatment 1st line = weight loss • 5-10% weight loss can restore ovulatory cycles • Improvement
20 mcg ethinyl estradiol
#LH #Cholesterol t cholesterol desmolase (#thecal cells) V 3ß-hydroxysteroid dehydrogenase Pregnenolone Progesterone 17a-hydroxylase 17-Hydroxypregnenolone 17,20-lyase Dehydroepiandrosterone 3ß-hydroxysteroid dehydrogenase #Androstenedione 17B-hydroxysteroid dehydrogenase FSH V #Testosterone Đ #aromatase (granulosa cells) V #Estradiol
granulosa cells) V #Estradiol
ACTH LH Cholesterol cholesterol desmolase Pregnenolone 17a-hydroxylase 17 Hydroxyregnenolone 17,20-lyase 3B-hydroxysteroid dehydrogenase 3B-hydroxysteroid dehydrogenase 17a-hydroxylase #Progesterone 17-Hydroxyprogesterone 17,20-lyase 21ß-hydroxylase 21ß-hydroxylase 11-Deoxycorticosterone 11-Deoxycortisol 11ß-hydroxylase 11ß-hydroxylase #Cortisol #Dehydroepiandrosterone #DHEA 3ß-hydroxysteroid dehydrogenase 个 #Androstenedione #17B-hydroxysteroid #dehydrogenase #Testosterone #aromatase #FSH #Estradiol #5a reductase #Corticosterone aldosterone synthase #Aldosterone Angiotensin || #Dihydrotestosterone (DHT)
aromatase #FSH #Estradiol
Differential Diagnosis and Workup for Male Gynecomastia: Medications: spironolactone, ketoconazole, finasteride, alcohol, opiates, INH, steroids (testosterone, estrogen),
secrete beta-hcg or estradiol
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