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1) Let\'s say a woman named Lisa takes a birth control pill that supplies a cons

ID: 3483137 • Letter: 1

Question

1) Let's say a woman named Lisa takes a birth control pill that supplies a consistent, moderate level of both estrogen and progesterone for 23 days of the 28-day cycle, and on the remaining 5 days she takes nothing at all. Will she ovulate and be at risk of pregnancy?

A----Yes, ovulation will still occur

B---No, ovulation will not occur

2) Will Lisa menstruate?

A---Yes, she will menstruate approximately D25-28

B---Yes, she will menstruate during the middle of the 28 day cycle

C---No, she will likely not menstruate at all

3) Will Lisa mature follicles in her ovaries? Or will all her follicles remain in the primordial state?

A---Primordial state only until she stops taking this pill

B--She will mature the same average number of follicles regardless of the pill

4) Let’s say that Lisa takes this option 4 birth control for 10 years. Lillian, her friend, has never taken birth control. When Lisa and Lillian celebrate their 35 birthdays, will Lillian have more primordial follicles left to ovulate, fewer left to ovulate, or roughly the same number?

A---Lisa and Lillian will have roughly the same number of follicles

B---Lisa will have more follicles left to ovulate than Lillian

C---Lillian will have more follicles left to ovulate than Lisa

Explanation / Answer

Ans.1) Option A

birth control pills only work if one take them every day. They do not accumulate or collect in your body, which is why one must take a pill every day and shouldn't skip pills.

Ans.2) Option A

Birth control pills are a synthetic form of the hormones progesterone and estrogen. They prevent ovulation by maintaining more consistent hormone levels. As with ovulation, the hormonal changes that trigger the thickening and subsequent breaking down of your endometrium don’t occur if you’re taking daily hormones, so you don’t get your period. The bleeding that occurs is called withdrawal bleeding, and it’s your body’s reaction to going into withdrawal from the levels of hormones to which it has become accustomed during the rest of the month. Withdrawal bleeding is often shorter and lighter than your natural period, because the hormonal birth control has suppressed your endometrium from thickening.

Ans.3) Option B

Pills contain progesteron which will keep the FSH and LH levels down. This inhibits follicular development and prevents increase of estradiol. The inhibition of follicular development and the absence of LH drop in the cycle will completely inhibit the ovulation. Birth control pills do NOT however make you produce less follicles compared to if you would've not taken pills. We are all born with a pre-set number of follicles in our ovaries and pills won't change that number and therefore neither the start of your menopause.

Ans.4) Option A

There are pre set number of follicles in our ovaries and pills does not affect their number.