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sexual differentiation
is due to testosterone productiion at 8 weeks, otherwise fetus becomes female
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contaceptive pills cause what?
pseudopregnancy - induced FSH and LH "failure of pituitary
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what is the role of human chorionic gonadotropin (HCG)?
produced by implanted blastula in maintaining corpus luteum and its production of progesterone which in turn maintains endometrium
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where do the testes descend?
testes descend thru inguinal canals or cryptorchidism results, which impairs fertility
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sperm has what?
sperm has acrosome of digestive enzymes to remove zona pellucida around ova
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PID
salphingitis---->oophoritis, (70% subclinical infections) often polymicrobial infection (several microbe types);
15-25% yield long term results
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vaginitis
STD's and Candida albicans- which flourishes if pH is neutralized, or normal flora is eliminated (antibiotics)
Vaginal discharges change from usual in vaginitis, result differing with infectious agent
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uterine prolapse
pessary used to hold in place plus exercises
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endometrial polyp
leiomyoma- smooth muscle tumor of uterus
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cancers
- cervical cancer
- vaginal cancer is rare
- endometrial is most common
- ovarian
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cervical cancer
20% of cancers, number increasing in the under 25 due to HPV, so this is considered an STD. (Gardisil!!!)
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ovarian cancer
5% but more deaths due to no early symptoms or tumor marker (so far) that can be tested for
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