内分泌信号传导7.docx

?Case 7: Contraceptive Encounters?????Session ObjectivesStudents will be able to:?Describe how hormonal birth control worksDescribe which hormonal birth control methods are appropriate for different casesDescribe recent advances in pharmaceuticals for birth control???In this session students will consider several scenarios between medical doctors and patients, and describe the doctors best response to the patients questions and concerns. Students will either write or act out in class their carefully constructed responses.???Scenario 1A young doctor in general practice sees a 17 year old girl who comes in with her mother. He notes in her file the mothers report that the young woman is not sexually active (and examination shows no reason to doubt this) but is having irregular cycles and menstrual discomfort. During the exam, when the mother is in the waiting room, the young woman says she heard that taking the pill can relieve her symptoms and cure her acne. What does he tell her about this claim, and what does he recommend for her treatment??????CAPTION: EthinylEstradiol is the most common orally active artificial estrogen in use. (click image for 3-D interactive animation)CREDIT: ChemIDPlus, National Library of Medicine??Scenario 2A woman in her early 40s comes to the office of her gynecologist. She is worried that she might get pregnant, and that at her age there would be complications, so she wants to start taking birth control. Her gynecologist, who studied at Tulane and did her residency at Hopkins, wants to present options to her patient. She knows that it is best to let patients choose, but that they may have trouble making sense of their options because they dont necessarily understand their own biology, have little knowledge of chemistry, and be confused by the claims of pharmaceutical ads. Another factor she wants to consider is this womans age, and to make a wise choice of dose and drug based upon that information. What options does she present to her pati