1. KW. is 16 years old and has experienced oligomenorrhea (infrequent menstruation) for several years. Endocrine screening shows she has high levels of free testosterone and a LH.FSH ratio of 3:1. a) Is KW. ovulating? How do you know? b) Why is she not menstruating normally? How does her LH FSH levels affect follicle development and menstruation.

Menopause is a normal part of life, but some women experience difficult symptoms. How can the interprofessional collaboration with one or more members of the healthcare team make the care provided more patient-centered?

Progesterone: 1)  Is produced in adult testes and is responsible for genital development, beard growth, muscle development, and sexual drive 2)  Is produced by the placenta during pregnancy, with highest levels seen at conception and then steadily decreasing to non-detectable levels at term 3)  Is lowest is serum during the luteal phase of the menstrual cycle and highest during the follicular phase 4)  Parallels activity of the corpus luteum by rapidly increasing following ovulation and then abruptly falling to initial low concentrations prior to the onset of menstruation no references, just homework.

Hawa is a 26-year-old female patient with a history of infertility. She and her partner have been trying to conceive naturally for 2 years. Hawa started taking fertility medication 6 months ago to stimulate follicle development. At 21 years of age, she was diagnosed with pelvic inflammatory disease, which was treated with antibiotics. Her menstrual cycle has been unpredictable over the last 3 months, with sporadic light bleeding. During the last month, she has felt nauseous and experienced diarrhea. Yesterday, she had a sudden onset of abdominal and pelvic pain and heavy vaginal bleeding. She is concerned about the sudden change and sees her gynecologist the following day.   Hawa’s gynecologist is concerned she may be experiencing an ectopic pregnancy. Briefly describe what this means, in your own words.