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diagnosis differential endocrinology algorithm pathophysiology causes gynecomastia signs symptoms hematology management pharmacology staminox treatment urology workup androstenedione aromatase benign bph
Gynecomastia - Differential Diagnosis a nd Workup Algorithm Gynecomastia is common in clinical practice, affecting ~50% of males
LFTs, Prolactin, Testosterone ... , HCG, Estradiol
Anastrozole is a Selective non-steroidal aromatase Inhibitor. Used for the treatment of breast cancer in postmenopausal
androstenedione and testosterone ... to estrone and estradiol ... significantly lowers serum 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
dehydrogenase FSH V #Testosterone ... granulosa cells) V #Estradiol
Gender Affirming Care Modalities of Gender Affirmation • Legal - Can include updating: Birth certificate, Social Security
GnRH antagonists, Estradiol ... , Testosterone,
Feedback Loop: Prolactin (PRL) • PRL levels exhibit diurnal, menstrual, and age-related variation • TRH has
FSH/LH -> Decr estradiol ... females, Decr testosterone
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)
dehydrogenase #Testosterone ... aromatase #FSH #Estradiol
Differential Diagnosis and Workup for Male Gynecomastia: Medications: spironolactone, ketoconazole, finasteride, alcohol, opiates, INH, steroids (testosterone, estrogen),
INH, steroids (testosterone ... secrete beta-hcg or estradiol
Exogenous Testosterone Side Effects • Mood disorder, Depression, Aggression • ↑ Erythropoiesis • Hypogonadism +/-BPH, prostate
Exogenous Testosterone ... #Exogenous #Testosterone
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
Benign Prostatic Hyperplasia: Pathogenesis and Medications Aging -> Increased Testosterone -> Testosterone metabolized into DHT by type
-> Increased Testosterone ... -> Testosterone ... Conversion of testosterone ... pituitary -> Decr Testosterone
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