Page 285 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Release of Female Sex Hormones
                                      Stress
                                     Psyche

                                   Hypothalamus
            Inflammation, ischemia,                                    Release
            tumors, trauma,
            malnutrition,         Gonadoliberin
            drugs,                  (GnRH)
            genetic defects,                      Androgens, prolactin
            norepinephrine, dopamine,  1                               Sex Hormones:
            serotonin, endorphins,                Bleeding, ischemia,
            radiation       Hypophysis            inflammation, trauma,
                                                  hypophyseal insufficiency
                                                                       Female


                          Follitropin      Lutropin
                           (FSH)            (LH)
                                 Resistant ovary                       Plate 9.10
                                   syndrome
             Inhibin                                 3
        Activin
                  2
                        Follicle
               Androgens                   Ovulation  Corpus luteum
                        maturation
                        Granulosa cells
         Ovulation inhibitors,                       Ovulation inhibitors,
             tumors            Ovarian insufficiency     tumors
                            Enzyme defects

               Estrogens                           Progestogens

          4
                 50
           Units/L
                                                         FSH
                  0                                      LH
           ng/mL  ng/mL
            16   0.4
            12   0.3                                     Progestogens
            Progestogens  8 4  Estrogens  0.2            Estrogens
                 0.1
                  0
             0
                    1        7       14      21       28 Days         275
       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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