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step2ck_form6/Block 1/Question#22 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Decreased androgens ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ
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 +3 
submitted by โˆ—carolebaskin(95),
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sdngAorne are pnsblroiese rfo oidbli in tobh se!xes

soAl, anc't be esgrtoen ueaebsc ehyer't on HTR dan aingva is omsit nda utd,gear indigntiac tauqeeda gtseonre

jlbae  "Androgens are responsible for libido in both sexes!" This is why you can give testosterone for arousal disorders +3  
drdoom  Thereโ€™s a great This American Life ep. all about this +2  
daisy19  Am I the only one who got this wrong because of the incredibly poor grammar? "Which of the following is the most likely cause of these findings?" Technically speaking, they were just discussing the PE which showed a moist, well rugated vagina. So I assumed they wanted to know what was causing that. +1  



 +0 
submitted by โˆ—sugaplum(451),
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hsti eon si tghou but hsti is thaw I ma inhtin.kg f I oyu lsoeo ruyo Osrveai you oeslo ruoy major srcoue of seo.erngt Onec uyor cearlep htta llya,ro you liwl hvae cxeses ergntseo lgifnaot ni eth .dbyo thta wlli go tuhs wodn uryo HAP ,aisx so rouy oehrt adrennosg liwl own eb arcdedees ;-&-gt lwo idolib

lindasmith462  per UTD: "Oral estrogens also increase sex hormone-binding globulin (SHBG) more than transdermal preparations, which results in lower free testosterone concentrations. This could theoretically result in a negative impact on libido and sexual function, but this has not been proven" +1  
lindasmith462  sorry for the double comment - so in addition to the oral estrogens and the decreased testosterone production from a BSO - these decreases in androgens are not consistently related to decreased libido. Overall androgen hormone levels and decreased libido in women have no or weak associations in the current literature. treatment with androgens has had some promising results but has not been consistent. So this test question isn't wrong but it isnt right either. Long story short the data on this is consistently inconsistent, including on the psychologic factors impacting libido post TAH/BSO +1  

And this is why one of the side effects of OCP is decreased libido!

+2/- qfever(60),


 +0 
submitted by โˆ—step_prep7(20),
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  • esrivaO ont olyn udpreco ,sorestgen ubt saol cerpudo nrsdganeo thta ypal a acetrln lroe ni idboli gon(ma oehrt )histng

hprpernpoti:tts.rgo//s/gtupe-/t




 +0 
submitted by sizario(1),
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ohw ecmo hsit ultn'ocd eb eseracdde SH?F nDets'o otsrenge veah veniegat dbekefca no LHFS/H?




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