SAP KB 3 MONTHS DEPO INJECTION uars MEDROKSI PROGESTERONE | seto Hartadi
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A. Instructional Objectives uars
D. Material
Medroksi depot progesterone is one of the contraceptive progestin-only injections of 150 mg Depo Medroksi Progesterone Acetate (DMPA) were given every 3 months by way of injecting IM (buttocks area). (SYAIFUDIN, 2003: MK-40)
FSH and LH levels decreased and no jolt LH (LH surge). Response uars to the pituitary uars gland to exogenous gonadotropin releasing hormone unchanged, thus giving a different impression with POK, which seems to inhibit ovulation through a direct effect on the pituitary gland. The use of injectable contraceptives do not cause hypo-estrogenic.
In DMPA, endonetrium be shallow and atrofis with glands that are not active. Stroma often becomes oedemastus. With long-term use, the endometrium can be so very little, so it is not obtained or is obtained only when done little tissue biopsy. But these changes will be kembli to normal within 90 days after the injection of DMPA that terakir. (Hartanto, 2004: 199)
Giving progetseron can interfere with exogenous FSH and LH peak levels, so even though ovulation, progesterone production was reduced from corpus luetum causes inhibition of implantation. Giving estrogen systemically and for long periods causes the endometrium to experience a state of "rest" and atrophy. uars (Hartanto, 2004: 99)
Transport of the ovum can be slowed when administered progesterone before fertilization can cause elevated incidence of implementation of ectopic (tubal), in women who use contraception uars that contains only progesterone. (Hartanto, 2004: 99)
Within 48 hours after administration of progesterone is visible cervical mucus is thick, so the mobility and penetration of spermatozoa severely hampered. Mucus servic that "hostile or unfriendly" for spermatozoa are small amounts uars of mucus, cellular and less viscous uars and show ferning danspinnbarkeit. (Hartanto, 2004: 100)
It is not surprising that the combination streroid proved so in control of mostly affects reproduction but also other physiological systems. Problems related to the content uars of EE, as a potent estrogen in part a long time this is protombrik. (Anna Gleiser and Ailsa Gebbie, 2006: 103)
In DMPA had no effect on lactation, even likely to improve the quantity of breast milk (milk production multiply). DMPA does not change the composition of breast milk. Also not found immunologic effects uars (changes in the concentration of immunoglobulin) in breast milk acceptor former DMPA or NET EN. It was found a small amount of hormones in the milk, but do not have such an effect on the baby weight or infant development is not compromised. (Hartanto, uars 2004: 173)
When women experience irregular perdaran, uars she should be advised to return before the next injection so that the injections can be given earlier. If there is no improvement in bleeding patterns, he must be given estrogen at the same time, either in the form of pills or if pill combination is contraindicated in the form of hormone replacement therapy. Most women experience bleeding seepage found that the complaint is better by itself, uars usually in the fourth injection. (Everett, 2008: 177)
Acne is sometimes caused or aggravated by such androgenic progesterone levonorgestel or .NET. A good treatment can usually bring women using contraception can get through a period of adjustment to the new method although sometimes these methods need to be stopped (Glacier and Gebie, 2006: 96). Some women may complain of increased acne and mood changes. It is usually better, vitamin B6 therapy and evening primose oil can be beneficial to suppress it. If there is no change in symptoms, this should be discussed together with the woman. He may switch methods or treat acne. (Everret, 2008: 178).
Women should be able to receive it after the injection is given, the injection can not be withdrawn so that unexpected side effects they experience, although short-term basis, will continue samapai injection expire after 12 weeks. (Eveerret, 2008: 174)
It only becomes a problem for users of DMPA, which may experience a prolonged interval before recovering to normal ovulation. This delay may be due to the persistence of MPA in circulation, because the microcrystals in the injectable depot sometimes dissolves very slowly. Delay average fertility restoration lasts 7-8 bullae
Recently myocarditis posts Endocarditis papers Papers SAP KB chf 3 MONTHS DEPO INJECTION MEDROKSI PROGESTERONE Recent Comments Archives July 2013 June 2013 Categories General Meta Register Log in Entries RSS Comments RSS WordPress.com
A. Instructional Objectives uars
D. Material
Medroksi depot progesterone is one of the contraceptive progestin-only injections of 150 mg Depo Medroksi Progesterone Acetate (DMPA) were given every 3 months by way of injecting IM (buttocks area). (SYAIFUDIN, 2003: MK-40)
FSH and LH levels decreased and no jolt LH (LH surge). Response uars to the pituitary uars gland to exogenous gonadotropin releasing hormone unchanged, thus giving a different impression with POK, which seems to inhibit ovulation through a direct effect on the pituitary gland. The use of injectable contraceptives do not cause hypo-estrogenic.
In DMPA, endonetrium be shallow and atrofis with glands that are not active. Stroma often becomes oedemastus. With long-term use, the endometrium can be so very little, so it is not obtained or is obtained only when done little tissue biopsy. But these changes will be kembli to normal within 90 days after the injection of DMPA that terakir. (Hartanto, 2004: 199)
Giving progetseron can interfere with exogenous FSH and LH peak levels, so even though ovulation, progesterone production was reduced from corpus luetum causes inhibition of implantation. Giving estrogen systemically and for long periods causes the endometrium to experience a state of "rest" and atrophy. uars (Hartanto, 2004: 99)
Transport of the ovum can be slowed when administered progesterone before fertilization can cause elevated incidence of implementation of ectopic (tubal), in women who use contraception uars that contains only progesterone. (Hartanto, 2004: 99)
Within 48 hours after administration of progesterone is visible cervical mucus is thick, so the mobility and penetration of spermatozoa severely hampered. Mucus servic that "hostile or unfriendly" for spermatozoa are small amounts uars of mucus, cellular and less viscous uars and show ferning danspinnbarkeit. (Hartanto, 2004: 100)
It is not surprising that the combination streroid proved so in control of mostly affects reproduction but also other physiological systems. Problems related to the content uars of EE, as a potent estrogen in part a long time this is protombrik. (Anna Gleiser and Ailsa Gebbie, 2006: 103)
In DMPA had no effect on lactation, even likely to improve the quantity of breast milk (milk production multiply). DMPA does not change the composition of breast milk. Also not found immunologic effects uars (changes in the concentration of immunoglobulin) in breast milk acceptor former DMPA or NET EN. It was found a small amount of hormones in the milk, but do not have such an effect on the baby weight or infant development is not compromised. (Hartanto, uars 2004: 173)
When women experience irregular perdaran, uars she should be advised to return before the next injection so that the injections can be given earlier. If there is no improvement in bleeding patterns, he must be given estrogen at the same time, either in the form of pills or if pill combination is contraindicated in the form of hormone replacement therapy. Most women experience bleeding seepage found that the complaint is better by itself, uars usually in the fourth injection. (Everett, 2008: 177)
Acne is sometimes caused or aggravated by such androgenic progesterone levonorgestel or .NET. A good treatment can usually bring women using contraception can get through a period of adjustment to the new method although sometimes these methods need to be stopped (Glacier and Gebie, 2006: 96). Some women may complain of increased acne and mood changes. It is usually better, vitamin B6 therapy and evening primose oil can be beneficial to suppress it. If there is no change in symptoms, this should be discussed together with the woman. He may switch methods or treat acne. (Everret, 2008: 178).
Women should be able to receive it after the injection is given, the injection can not be withdrawn so that unexpected side effects they experience, although short-term basis, will continue samapai injection expire after 12 weeks. (Eveerret, 2008: 174)
It only becomes a problem for users of DMPA, which may experience a prolonged interval before recovering to normal ovulation. This delay may be due to the persistence of MPA in circulation, because the microcrystals in the injectable depot sometimes dissolves very slowly. Delay average fertility restoration lasts 7-8 bullae
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