Evaluation of infertility

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A 27-year-old woman comes to the office for evaluation of infertility. The patient and her husband have been trying to conceive for the past 2 years but unsuccessful. Her husband recently underwent infertility evaluation and was found to have no abnormalities. The patient's menses began at age 14 and cycles were regular until the last few years, when they began occurring at intervals of 3-4 months. She has occasional headaches but no other symptoms. She has no prior medical conditions and takes no medications, On physical examination, the patient appears normal and has well-developed secondary characteristics. Cardiopulmonary and abdominal examinations are normal, Pelvic examination reveals no adnexal masses. Neurological examination shows vision in the bilateral temporal visual fields. CT scan reveals a mass in the pituitary gland. Examination of the other cranial nerves is normal and there is no weakness or sensory loss. The hormone involved in her condition carries out its action by? A. Direct modulation of DNA transcription B. increasing the conversion of Phosphatidylinositol 4,5-bisphosphate to inositol triphosphate C. increasing the conversion of ATP to CAMP D. increased conversion of GTP to CGMP E. Activating the JAK STAT pathway.

Reference no: EM133755748

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