- Causes of gynecomastia.

Causes of gynecomastia.
Gynecomastia.

• Genetic : klinefelter syndrome.
• Young boy (puberty): due to transient increase of plasma estradiol.
• Neonate: due to persistent maternal or placental lactogens.
• Estrogen and estrogen like drugs (e.g. digitalis).
• Cirrohosis,Cimetidine,Cytotoxic drugs.
• Old age(due to conversion of androgen to estrogen in extra glandular tissue),Overactive thyroid (Hyperthyroidism)
• Myxedema,Marijuana.
• Acromrgally.
• Spironolactone,Steroids.
• Tumour (e.g. testis,adrenal,bronchogenic carcinoma).
• INH,Iron deposition in testis.
• Alcoholism.

- Gallbladder stone and surgery.

Gallbladder stone and surgery.

video shows normal function of gallbladder and then problems from gallstones and how laparoscopic surgery is done to remove gallbladder.

- Drugs interfering with woman sexual functioning.

Drugs interfering with woman sexual functioning.

"On batch"

Oral contraceptives.
Narcotics.

Barbiturates.
Benzodiazepine.

Antihypertensives.
Antipsychotics.
Antidepressants.
Antihistaminics.
Amphetamines.

Thiazide diuretics.
Cocaine.
Hallucinogens.

Dr Ibrahim

- Assessment of 2ry amenorrhea algorithm.

Assessment of 2ry amenorrhea algorithm

- Factors affecting women sexual response.

Factors affecting women sexual response.

"paid"

• Pregnancy :- stress accompanying pregnancy affect sexual marital relationship.
• Aging.
• Illness either acute or chronic.
• Infertility :- cause women to feel depressed and sexually undesirable.
• Drugs which interferes with sexual functioning (click here) .

Dr Ibrahim