Hormones 2016

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Condoms How do I get condoms? You can get condoms free from - • Brook services, • Young people’s clinics, • Contraception and sexual health clinics, • Some GP’s, • Some genitourinary medicine (GUM) clinics. Or buy your condoms, even if you’re under 16, from - • Pharmacies, • Petrol stations, • Machines in public toilets, bars and clubs, • Most supermarkets, • Mail order or online. If you feel embarrassed to get condoms - dont be. There is no need to feel embarrassed about asking for condoms, as it’s nothing to be ashamed of. Deciding to use condoms shows that you have respect for your body and are responsible enough to look after your sexual health. If you go to a service to get condoms, you will usually have a private consultation where they will ask you a few questions and they may show you how to use condoms by giving a demonstration on a plastic penis. You and a friend or partner can also go to a clinic together and keep each other company. This might make it a bit easier for you (brook, 2015b). How do you use condoms? If you follow the instructions on the pack it will make it much less likely that you will have any problems. • Check the expiry date and make sure there are no rips or holes in the pack, • Check that the condoms have the BSI kite mark or CE mark on the pack, • Before opening, feel for the rib of the condom inside the packaging. Push this to the side so that when you tear it open you dont tear the condom as well • Unroll the condom a bit to check it is the right way round. Check which way to roll it down BEFORE it touches the penis, • Pinch the tip of the condom between your thumb and forefinger to get rid of any air, • Make sure the condom is put on the penis as soon as it is erect (hard), before it goes near anyone’s mouth, vagina or anus, to help protect against unplanned pregnancy and STI’s, • Use your other hand to roll the condom down the penis all the way to the base, 400 Version 2016.3576– – Document LATEXed – 1st May 2016 [git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (2016-05-01)
Condoms • If you are having anal sex, you should use additional water-based lubricant which you can apply directly to the anus or on the outside of the condom, • Check the condom is in place during sex, • After ejaculation, hold the condom on at the base until the penis is withdrawn from your partners mouth, vagina or anus, and then take it off, wrap it in tissue and throw it in the bin (not down the toilet), • Always use a brand new condom if you have any sexual contact again they can only be used once. Never use two condoms together as this increases the chances of them splitting or tearing. Some condoms have spermicide on them and these are being phased out because research has shown that a spermicide called nonoxynol 9 doesnt protect against some STI’s (and may even increase the risk). Avoid using spermicide lubricated condoms if you can, or using spermicide as an additional lubricant (brook, 2015b). Look after your condoms Keeping condoms in your pocket or at the bottom of your bag for a long time might damage them. If the wrappers look damaged throw them away and get new ones. Always check the expiry date - out of date condoms are less effective (brook, 2015b). How are condoms tested to make sure they will work? Condoms go through several different tests to check - • they are free from holes, • the strength and stretch of the latex, • the air pressure needed to burst one, • the safety of the packaging (fpa, 2016). Where should I keep condoms? Always keep packets of condoms and individual condoms where they cannot be damaged by strong heat, sharp objects, light or damp (fpa, 2016). Male condoms A woman can get pregnant if a man’s sperm reaches one of her eggs (ova). Contraception tries to stop this happening by keeping the egg and sperm apart or by stopping egg production. One method of contraception is the condom. 401 Version 2016.3576– – Document LATEXed – 1st May 2016 [git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (2016-05-01)
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Sharon Kimble (S.E.N.,R.G.N.) Hormo
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Contents Leuprorelin Acetate . . .
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Contents Sperm banking . . . . . .
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List of Tables 13.10Reference range
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List of Figures 3.1 Positive and ne
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This document understandable format
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About the author About the author M
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Chapter 2 README FIRST This chapter
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Cyproterone Acetate • nocturia,
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Dydrogesterone Common side-effects
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Estradiol Valerate Cardiovascular
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Goserelin Common side-effects Gastr
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Oestrogel Also known as Regaine, Ro
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Testosterone • oedema, (Abramovit
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Triptorelin Common side-effects Gas
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Chapter 3 Preamble What are hormone
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Side effects want to keep your weig
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What changes will I see? 9 You can
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What changes will I see? Changes to
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What changes will I see? Female-to-
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What changes will I see? Changes to
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What changes will I see? Effect Bod
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Common therapies Oestrogens, conjug
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Drugs used in Female to Male transi
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How oestrogen works DNA’s genetic
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Hormone effects in male→female
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Hormone effects in female→male
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Hormone effects in female→male Ga
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Hormone effects in female→male De
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An overview of the endocrine system
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The major endocrine glands Table 4.
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The Biochemistry of Sex Hormones Fi
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The Biochemistry of Sex Hormones Fi
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Female Genital Anatomy • Epididym
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Female Genital Anatomy of the breas
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Chapter 6 Hormones Estradiol Valera
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Estradiol Valerate If you are signi
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Estradiol Valerate Deferasirox - Th
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Estradiol Valerate Siltuximab - The
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Estradiol Valerate • Nausea, •
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Estradiol Valerate Metabolism - Est
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Oestrogel • Significant increase
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Oestrogel Interactions Drug interac
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Oestrogel • breast swelling, •
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Sandrena • A history of endometri
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Sandrena Breastfeeding Sandrena is
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Sandrena Psychiatric disorders •
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Testosterone Testosterone Administr
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Testosterone being. Examples includ
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Testosterone • Amenorrhoea, • o
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Testosterone Disopyramide - Testost
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Testosterone Effects on Lab Test Re
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Testosterone Schedule IV - Drugs th
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Dutasteride Contains Dutasteride 50
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Dutasteride Pharmacodynamics The on
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Finasteride Effects on Lab Test Res
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Finasteride Pharmacodynamics Finast
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Finasteride Patient Teaching Tell p
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Bicalutamide Pharmacology Bicalutam
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Bicalutamide Hepatic Hepatic side e
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Bicalutamide Cisapride - The serum
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Cyproterone Acetate Administration
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Cyproterone Acetate How it works Th
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Cyproterone Acetate Estradiol - The
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Cyproterone Acetate Repaglinide - T
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Flutamide Note Should be taken afte
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Flutamide Interactions Drug-drug Wa
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Flutamide Contraindications Sensiti
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Goserelin Shelf life Drogenil = 60
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Goserelin Typical dosage Pre-op 3.6
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Goserelin • Sexual dysfunction,
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Goserelin Ciprofloxacin - Goserelin
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Goserelin Itraconazole - Itraconazo
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Goserelin Sorafenib - Sorafenib may
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Leuprorelin Acetate Self-care tips
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Leuprorelin Acetate which leads to
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Leuprorelin Acetate Anagrelide - Le
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Leuprorelin Acetate Flupentixol - L
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Leuprorelin Acetate Mifepristone -
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Leuprorelin Acetate Tacrolimus - Ta
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Triptorelin Triptorelin Alternative
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Triptorelin Insulin Regular - The t
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Triptorelin • anorexia, • gout,
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Triptorelin Distribution The volume
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Triptorelin The suspension vehicle
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Triptorelin • Triptorelin may rai
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Chapter 9 Progestogens Dydrogestero
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Dydrogesterone Pharmacodynamics Dyd
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Dydrogesterone Danaparoid - The the
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Progesterone Contains Cylcogest - P
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Progesterone • Fatigue, • heada
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Progesterone Bosentan - The serum c
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Progesterone Repaglinide - The ther
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Chapter 10 Other useful drugs This
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Emla Cream Slight erythema is frequ
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Emla Cream Typical dosage Electroly
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Minoxidil Warning Do not use near y
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Vaniqa Eflornithine is a prescripti
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Vaniqa Patients may need to continu
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Ethinylestradiol Contains Ethinyles
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Ethinylestradiol • Headache, •
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Ethinylestradiol Bortezomib - The m
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Ethinylestradiol Secobarbital - The
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Medroxyprogesterone Acetate Warning
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Medroxyprogesterone Acetate Route T
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Medroxyprogesterone Acetate Atazana
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Medroxyprogesterone Acetate Insulin
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Medroxyprogesterone Acetate Topiram
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Oestrogens, conjugated Action Mimic
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Oestrogens, conjugated Vaginal - cr
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Oestrogens, conjugated Cyclosporine
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Spironolactone Spironolactone - liq
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Spironolactone Contraindications Hy
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Spironolactone Chlorphenamine - The
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Spironolactone Racepinephrine - Spi
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Spironolactone Warning You should b
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Breast Self Examination can be succ
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Deep Vein Thrombosis - You should a
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Deep Vein Thrombosis Epidemiology
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Osteoporosis Treating a DVT Treatme
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Osteoporosis Your sex - Women are m
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Prostate cancer Height loss and ost
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Testicular Self Examination Figure
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Testicular Self Examination Signs o
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Urinary Tract Infections - UTI’s
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Urinary Tract Infections - UTI’s
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Blood testing What To Expect After
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Blood testing Production of red blo
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Blood testing Proper handling of th
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Blood groups Antigens and antibodie
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Alkaline phosphate - ALP Male Femal
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Blood Glucose High bilirubin levels
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Cholesterol HDL (Good) Cholesterol
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Cholesterol • Stroke, • Serious
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Dehydroepiandrosterone sulphate - D
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Dihydrotestosterone - DHT elevation
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Follicle stimulating hormone - FSH
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High-density lipoprotein - HDL In m
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Low-density lipoprotein - LDL relat
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Liver function tests Indications Th
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Luteinizing hormone - LH Other test
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Oestrogen Test Conventional SI Unit
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Prolactin - PRL Low oestrogen level
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Sex hormone binding globulin - SHBG
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Testosterone Test Conventional SI U
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Thyroxine, free - T4 Raised testost
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Blood, urea and nitrogen - BUN •
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Full Blood Count - FBC Mean corpusc
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Full Blood Count - FBC Lymphocytes
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Full Blood Count - FBC More commonl
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Full Blood Count - FBC High platele
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International Normalised Ratio - IN
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Prostate specific antigen - PSA •
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Prostate specific antigen - PSA Dig
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Thyroid function test - TFT Once ag
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Urine and electrolytes • collect
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Urine and electrolytes Normal Value
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Urine and electrolytes What abnorma
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Urine and electrolytes • Low magn
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Albumin What abnormal results mean
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Chapter 15 Sexually transmitted inf
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Chlamydia It’s passed on from one
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Chlamydia the eyes - if they come i
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Genital herpes Genital herpes Genit
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Genital herpes ⋆ vaginal discharg
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Genital herpes • If urinating is
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Genital warts • Use condoms (male
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Genital warts How will I know if I
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Genital warts Because HPV is spread
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Gonorrhoea Signs and symptoms You m
Page 349 and 350: Gonorrhoea Sometimes you may be ask
Page 351 and 352: Hepatitis You can always go back to
Page 353 and 354: Hepatitis • rimming • fingering
Page 355 and 356: Hepatitis • as a result of blood-
Page 357 and 358: Hepatitis • have close contact wi
Page 359 and 360: Hepatitis • jaundice, • mental
Page 361 and 362: HIV Why should I get treated? Hepat
Page 363 and 364: HIV A woman with HIV can transmit t
Page 365 and 366: HIV • people who have caught anot
Page 367 and 368: HIV An HIV test should only be done
Page 369 and 370: HIV • PEP is an emergency measure
Page 371 and 372: HIV Treatment is usually recommende
Page 373 and 374: Molluscum contagiosum Molluscum con
Page 375 and 376: Molluscum contagiosum When to seek
Page 377 and 378: Molluscum contagiosum The treatment
Page 379 and 380: Molluscum contagiosum Pulsed-dye la
Page 381 and 382: Pubic lice What are the signs and s
Page 383 and 384: Scabies Finding empty eggshells (de
Page 385 and 386: Scabies Scabies mites can survive o
Page 387 and 388: Shigella What should I do if I thin
Page 389 and 390: Syphilis Statistics for 2014 showed
Page 391 and 392: Syphilis The latent stage can conti
Page 393 and 394: Syphilis You will be prescribed ano
Page 395 and 396: Trichomoniasis How is it passed on?
Page 397 and 398: How to avoid sexually transmitted i
Page 399: Condoms Avoid other types of contac
Page 403 and 404: Condoms Some men and women are sens
Page 405 and 406: Condoms Are there different types o
Page 407 and 408: Condoms Disadvantages • Some coup
Page 409 and 410: Condoms If you buy condoms online,
Page 411 and 412: Condoms • Now put your index or m
Page 413 and 414: Condoms Risks There are no serious
Page 415 and 416: Condoms Don’t use lotion or oils
Page 417 and 418: Bacterial vaginosis - BV Women with
Page 419 and 420: Bacterial vaginosis - BV The level
Page 421 and 422: Bacterial vaginosis - BV Things to
Page 423 and 424: Proctitis Proctitis Proctitis is so
Page 425 and 426: Thrush Symptoms • Irritation, bur
Page 427 and 428: Thrush It is very important to take
Page 429 and 430: Thrush Avoid Men should also try to
Page 431 and 432: Urethritis Urethritis Urethritis is
Page 433 and 434: Urethritis Other infections A numbe
Page 435 and 436: Urethritis You will be asked not to
Page 437 and 438: Urethritis NGU and sexually transmi
Page 439 and 440: Urethritis • epididymitis is infl
Page 441 and 442: Vaginal Thrush What to do if you ha
Page 443 and 444: Vaginal Thrush Emollients and antif
Page 445 and 446: Vaginitis • Pain when you wee,
Page 447 and 448: Accessing your health records • A
Page 449 and 450: Accessing your health records An at
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Adrenal Fatigue Symptoms said to be
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Adrenal Insufficiency Adrenal Insuf
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Bio-equivalence Product Presentatio
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Bio-equivalence Generic Brand Form
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Blood levels Active ingredient Bran
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Blood levels Hormone Female Male Bl
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Blood tests • SHBG, • testoster
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Blood tests Analyte Specimen Conven
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Blood tests Analyte Folliclestimula
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Blood tests Analyte •Content leve
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Body fat Analyte Specimen Conventio
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Breast Development Figure 17.2 - Th
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Breast disorders • As time passes
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Breast disorders Symptom Causes Com
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Breast disorders The breast is palp
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Breast disorders CBE is usually par
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Breast disorders Red flags Certain
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Breast disorders Nipple discharge c
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Breast disorders Cause Suggestive f
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Breast disorders the area around th
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Breast disorders Diffuse bilateral
Page 493 and 494:
Breast Implants Saline implant rupt
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Breast Screening What is the NHS Br
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Breast Screening • some cancers a
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Coming out A personal experience. W
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Consent and Informed Consent Consen
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Cycling Hormones? thanks to its ant
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E-numbers Drug names Medicines norm
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Expiry dates What to do? There are
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Further discussion of Vitamin D Fac
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Gender expression) related to that
Page 513 and 514:
Getting a urine sample or otherwise
Page 515 and 516:
Grapefruit Juice • avoid cocaine,
Page 517 and 518:
Grapefruit Juice Generic Brand Clin
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Heamatological Reference Values Ana
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How to Take Your Tablets. This last
Page 523 and 524:
Implants, Testosterone and Estradio
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Infection? Labial redness variable
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Injections Syringe size Your syring
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Injections 4 Using your "Ampoule Op
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Injections 10 Where appropriate a
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Injections Figure 17.9 - This shows
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Kegel exercises Kegel exercises Fig
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Lactation the muscle for a count of
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Liver damage All products absorbed
Page 541 and 542:
Male pregnancy root), preventing th
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Measuring Your Transition • Measu
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Menopause suggest a specific influe
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Menopause Male menopause Male menop
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Menopause Men normally experience a
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Menopausal symptoms Menopausal symp
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Mood swings and depression See also
Page 555 and 556:
Oestrogen and Alzheimer’s Disease
Page 557 and 558:
Pelvic examination • manual, •
Page 559 and 560:
Pharmacodynamics Pharmacodynamics T
Page 561 and 562:
Premarin Premarin This drug is, sup
Page 563 and 564:
Prescriptions Medical exemptions Pe
Page 565 and 566:
Prostate cancer Prostate cancer The
Page 567 and 568:
Regimes Hormone regimes for transge
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Regimes Name Dosage When taken OR 5
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Regimes Parenterally (i.m. or subcu
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Safety of HRT • Getting older,
Page 575 and 576:
Sexual Health Dementia Evorel [estr
Page 577 and 578:
Sexual Health Mammography Women sho
Page 579 and 580:
Skin care Skin care One of the unfo
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Skin care Sensitive Skin Please not
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Skin care Sanitise your tools Wash
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Skin care • Lemon juice works wel
Page 587 and 588:
Sleep more often reported a variety
Page 589 and 590:
Sleep The stages of NREM sleep and
Page 591 and 592:
Sleep Sleep fragmentation results f
Page 593 and 594:
Smoking and taking hormones Many st
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Stopping hormones prior to surgery
Page 597 and 598:
Stress management Stress management
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Stress management A single episode
Page 601 and 602:
Stress management Reach out - Make
Page 603 and 604:
Stress management Why you react to
Page 605 and 606:
Stress management Reframe your thou
Page 607 and 608:
Stress management • Stressing abo
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Stress management Try aromatherapy
Page 611 and 612:
Stress management your mind as well
Page 613 and 614:
Stretch marks Maintain healthy rela
Page 615 and 616:
Supplies Supplies In the UK Nu-Care
Page 617 and 618:
Testosterone replacement therapy, m
Page 619 and 620:
The real side effects of testostero
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The real side effects of testostero
Page 623 and 624:
The risks of breast cancer One stud
Page 625 and 626:
Thrush "The FDA has reviewed the av
Page 627 and 628:
Transgender Definitions 1 It can’
Page 629 and 630:
Transgender Definitions Cross Dress
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Transgender Definitions Dyke This i
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Transphobia Transwoman A male-to-fe
Page 635 and 636:
Transphobia When referring to trans
Page 637 and 638:
Treatment aims • online abuse,
Page 639 and 640:
Urinary Tract Infections 1 IU 45.5
Page 641 and 642:
Vitality Children Vaginitis usually
Page 643 and 644:
Vitamins Age Folate µg Niacin mg R
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Vitamins Deficiencies - Inadequate
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Vitamins Recommended Dietary Allowa
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Vitamins Food Sources - Avocado, ba
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What is a ’vitamin’? that contr
Page 653 and 654:
Zoff Review the material again - Re
Page 655 and 656:
Books Made In God’s Image: A Reso
Page 657 and 658:
Email This site is strictly for MTF
Page 659 and 660:
Some web sites Some web sites All l
Page 661 and 662:
Chapter 19 Appendix 1 American vs B
Page 663 and 664:
How to evaluate health information
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Page 667 and 668:
Page 669 and 670:
Glossary A | B | C | D | E | F | G
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Glossary cancerous malignant . . .
Page 673 and 674:
Glossary G gastric lavage stomach w
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Glossary lipophilic the ability to
Page 677 and 678:
Glossary spermatogenesis Spermatoge
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Acronyms A | B | C | D | E | F | G
Page 681 and 682:
Acronyms HRT Hormone Replacement Th
Page 683 and 684:
Bibliography [AB, 2011] CellaVision
Page 685 and 686:
Bibliography [Beastall, Ferguson, O
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Bibliography [Burger, 2002] H. G. B
Page 689 and 690:
Bibliography [Corona, Maseroli, Ras
Page 691 and 692:
Bibliography [drugbank, 2014b] 2014
Page 693 and 694:
Bibliography [Fogelman, 1991] L Fog
Page 695 and 696:
Bibliography [Gossman, 2014] MV Gos
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Bibliography [helpguide, 2016b] 201
Page 699 and 700:
Bibliography [L. Johnson, 2014] LE
Page 701 and 702:
Bibliography [Kuper, Mantzoros, Lag
Page 703 and 704:
Bibliography [Lippert, A. O. Mueck,
Page 705 and 706:
Bibliography [mayoclinic, 2014c] 20
Page 707 and 708:
Bibliography [MIMS, 2016a] MIMS 201
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Bibliography [NHS, 2014f] 2014f HIV
Page 711 and 712:
Bibliography [O’Sullivan, 2013] M
Page 713 and 714:
Bibliography [Rasgon, Geist, Kenna,
Page 715 and 716:
Bibliography [Sabon, Cheng, Stommel
Page 717 and 718:
Bibliography [takingcharge, 2010] t
Page 719 and 720:
Bibliography [ucsfhealth, 2009b] 20
Page 721 and 722:
Bibliography [unknown, 2015e] 2015e
Page 723 and 724:
[wikipedia, 2016] 2016 Tanner scale
Page 725 and 726:
Medroxyprogesterone Acetate 215 Oes
Page 727 and 728:
interaction Carbamezapine . . . . .
Page 729 and 730:
depressed mood . . . . . . . . . .
Page 731 and 732:
liver failure . . . . . . . . . . .
Page 733 and 734:
transient erythema . . . . . . . .
Page 735 and 736:
pancreatitis . . . . . . . . . . .
Page 737 and 738:
Vaniqa acne . . . . . . . . . . . .
Page 739 and 740:
Aminophylline Cyproterone Acetate .
Page 741 and 742:
Capromab Bicalutamide . . . . . . .
Page 743 and 744:
Nelfinavir . . . . . . . . . . . .
Page 745 and 746:
Edetic Acid Cyproterone Acetate . .
Page 747 and 748:
C1 Esterase Inhibitor (Human) 213 C
Page 749 and 750:
Leuprorelin Acetate . . . . . . . 1
Page 751 and 752:
Propofol . . . . . . . . . . . . .
Page 753 and 754:
Progesterone. . . . . . . . . . . .
Page 755 and 756:
Maprotiline . . . . . . . . . . . .
Page 757 and 758:
Glimepiride . . . . . . . . . . . .
Page 759 and 760:
Bicalutamide . . . . . . . . . . .
Page 761 and 762:
Goserelin . . . . . . . . . . . . .
Page 763 and 764:
Saxagliptin Cyproterone Acetate . .
Page 765 and 766:
Tasimelteon Cyproterone Acetate . .
Page 767 and 768:
Goserelin . . . . . . . . . . . . .
Page 769 and 770:
Index of STI’s A Avoidance . . .
Page 771 and 772:
Curettage . . . . . . . . . . . . .
Page 773 and 774:
General Index A Accessing someone e
Page 775 and 776:
What happens? . . . . . . . . . . .
Page 777 and 778:
Importing hormones. . . . . . . . .
Page 779 and 780:
S Safety of our regimes . . . . . .
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