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A 34-Year-Old Nulliparous Woman Comes to the Physician Because of a 5-Month

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A 34-year-old nulliparous woman comes to the physician because of a 5-month history of heavy menstrual bleeding. She has a monthly cycles lasting 7-10 days and normal blood flow with the passage of large clots.  . Pelvic examination shows an asymmetrically enlarged, fibroid uterus, and she is found to have significant anemia due to blood loss. A urine pregnancy test is negative. The patient is prescribed continuous leuprolide therapy.  After several weeks, which of the following sustained hormonal changes are expected to have occurred as a result of the treatment? A 34-year-old nulliparous woman comes to the physician because of a 5-month history of heavy menstrual bleeding. She has a monthly cycles lasting 7-10 days and normal blood flow with the passage of large clots.  . Pelvic examination shows an asymmetrically enlarged, fibroid uterus, and she is found to have significant anemia due to blood loss. A urine pregnancy test is negative. The patient is prescribed continuous leuprolide therapy.  After several weeks, which of the following sustained hormonal changes are expected to have occurred as a result of the treatment?   A) A B) B C) C D) D E) E


A) A
B) B
C) C
D) D
E) E

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