Ectopic pregnancy alternatives to maintain pregnancy

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Unformatted text preview: ngle 15 minute infusion per year increased bone density 5%. May be a promising therapeutic alternative. • PTH Stimulators (2003)- turn on osteoblasts –bone cancer? – Teriparatide (Forteo®) – inject 1x/day -a PTH fragment – Preos® - bioengineered, full-length PTH Normal Bone Osteoporosis Progesterones • Therapeutic Uses – Contraceptive • helps suppress ovulation • small doses prevent development of endometrium – Menstrual cycle abnormalities • amenorrhea, endometriosis, abnormal uterine bleeding if no pathological cause – Not to prevent habitual abortion. » Not effective and can cause cardiovascular malformations and limb reductions in fetus. Ectopic Pregnancy Alternatives to maintain pregnancy: • Ethanol or beta agonists (ritodrine) • Vaginal progesterone or low-dose estrogen – may help maintain pregnancy in first few weeks only. Side Effects • Similar to estrogen, but less effect on clotting and cancer if low potency form used. • High doses of progestins may increase risk of cardiovascular disease and stroke. • Also fatigue and depression possible. Androgens - Testosterone • Therapeutic Uses – Replacement • develops secondary sex characteristics, lowers testes, etc. – Anabolic effects • in paraplegics, people with malnutrition or with wasting diseases such as cancer. – Dysmenorrhea and menopausal states – Suppress lactation Androgens - Testosterone • Therapeutic Uses – Replacement – Anabolic effects – Dysmenorrhea and menopausal states – Suppress lactation – Relieves symptoms of inoperable breast cancer • preferred over estrogens during or before menopause – Fibrocystic disease • Mechanism: Seems to inhibit gonadotropins and thus natural estrogens. • Treatment for six months seems to cure many patients. Reoccurrence, however, quite common Side Effects • Retention of Na+, K+, C1-, and H20 - can contribute to heart failure • Jaundice • Nausea • Contraindicated - prostatic cancer and pregnancy – may masculinize female fetus Objective 8: • Identify normal contents of each of the major kinds of birth control pills and recognize possible side effects. Birth Control Pills: • Combinations of estrogen and progesterone most common – Amounts small in comparison to original pills – Sequential use Meaning estrogen first and later progesterone Is no longer considered necessary or desirable Caution: Contraceptive effects are decreased when taken with several antibiotics (ampicillin, penicillin V, , sulfonamindes, isoniazid, rifampin, neomycin) or CNS agents (barbiturates, benzodiazepines, phenytoin). Birth Control Pills: • Continuous progesterone in small amounts "minipill"...
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This document was uploaded on 02/07/2014.

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