Reproductive Endocrinology and Infertility: Current Trends by Togas Tulandi

By Togas Tulandi

Analyzes a variety of reproductive and gynecological issues encountered within the care of ladies who don't desire to conceive, in addition to those that have trouble with belief, early being pregnant, and menopause. Discusses the most recent innovations within the remedy of infertility, pelvic soreness, ectopic being pregnant, and osteoporosis.

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Am J Obstet Gynecol 1999; 181:539–544. Kaunitz A. Efficacy cycle control and safety of two triphasic oral contraceptives cyllessa (Desogestrel/ethinyl estradiol) and Ortho-Novum 7/7/7  (norethindrone/ethynylestradiol). Contraception 2000; 61:295– 302. Sullivan H, Furniss H, Spona J, Eisteer M. Effect of 21-day and 24-day oral contraceptive regimens containing gestodene (60 µg) and ethinyl estradiol (15 µg) on ovarian activity. Fertil Steril 1999; 72:115–120. Copyright 2003 by Marcel Dekker, Inc.

However, one could theorize that with even less estrogen, there may be a role for these OCs during this period. VI. CONCLUSIONS With the current dilemma for healthcare providers of select populations and the decision about whether or not to prescribe OCs, perhaps ultralow-dose pills can fill the void and allow OCs to reach larger patient populations. Specifically, ultra-low dose pills may be especially effective in smokers over 35 years old; individuals with hypertension, diabetes mellitus, migraine headaches, uterine leiomyomata, or lipid disor- Copyright 2003 by Marcel Dekker, Inc.

The decline in the production of ovarian and adrenal androgens that commences in the decade preceding menopause may have an impact on women’s health. The clinical sequelae of androgen deficiency in menopausal women have only recently been acknowledged, and androgen replacement for those who are symptomatic is becoming an increasingly important therapeutic option. It has been known that androgen (A) when added to estrogen (E) improves libido since 1950 [1,2]. The information then was anecdotal, and it was not until the mid-1980s that Sherwin and Gelfand demonstrated that the addition of androgen to estrogen in hormone replacement therapy (HRT) improved sexuality, energy, and well-being as well as augmenting libido [3–6].

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