histology of Paget diseaselarge cells with prominent nucleoli and pale to clear ″halos″ of cytoplasm in the epidermis reproductive HirotoShishido
where does sperm acquire motility?
+histology of itepididymis, which is lined with a layer of pseudostratified columnar epithelium with stereocilia reproductive HirotoShishido
treatment for PIDazithromycin or doxycycline(→chlamydia)
+ceftriaxone(→gonorrhea)
+metronidazole(→ anaerobic coverage if a tubo-ovarian abscess is suspected) reproductivemicrobiology HirotoShishido
imperforate hymen(処女膜閉鎖症)
an obstruction of the vaginal opening caused by incomplete degeneration of the fibrous tissue connecting the walls of the vagina causing menstrual blood to collect in the vagina and uterus (hematocolpos)=膣留血症 reproductiveOBGY HirotoShishido
equelle indication,receptormenopausal disorder→especially for hand pain
primary dysmenorrhea etiologyShortly before the onset of menses, ☆prostaglandin levels increase, which constricts blood vessels and contracts the uterus, causing pelvic pain and discomfort. reproductivegynecology HirotoShishido
GnRH agonists
drugs, clinical useleuprolide(LEUprolide can be used in lieu of GnRH)
choriocarcinoma common metastasishematogenous spread to lungs
("cannonball" metastasis) reproductive HirotoShishido
子宮支持組織について
子宮前屈を保つ→
子宮と卵巣をつなぐ→
卵巣動静脈、神経が通る→子宮円索(円靭帯) (鼠径管通る) round ligament
固有卵巣索 ligament of the ovary
卵巣提索(骨盤漏斗靭帯) suspensory ligament(infundibulopelvic ligament) reproductivegynecology HirotoShishido
how the splitting timing affect the type of identical twinsDD→split occurs within 2,3days following the fertization
MD→3〜8days
DD→8〜13days reproductiveembryologyOBGY HirotoShishido
factors for fraternal twinninghyperovulation caused by follicle stimulating hormone