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Gynaecology & Obstetrics Endometriosis, Adenomyosis 7cecdc6a

Mechanism of action of progesterones in the medical management of endometriosis is?

A
Deccidualisation and endometrial atrophy
B
Prevention of retrograde menstruation
C
Thickening of cervical mucous
D
Prevention of ovulation
High-Yield Explanation
Progesterones act by exeing an anti estrogenic effect and their continuous administration causes decidualisation and endometrial atrophy. The treatment over a period of 6 - 9 months produces a state of pseudopregnancy which ultimately causes regression of disease. It has no effect on ovulation Progestins used commonly are: Norethisterone Dydrogesterone Medroxyrogesterone acetate Mirena IUCD Dienogest

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