CASE 48
A 52-year-old female presents to your office with complaints of hot flushes,
mood swings, irritability, and vaginal dryness and itching. Her last menstrual
period was a little over a year ago. She denies any vaginal discharge. The
patient is concerned about having thyroid problems because her friend has
similar symptoms and was diagnosed with hyperthyroidism. On examination,
the patient is in no acute distress with normal vital signs. Her physical is nor-
mal other than thin, atrophic vaginal mucosa. A thyroid-stimulating hormone
(TSH) level is drawn and is normal. The follicle-stimulating hormone (FSH)
level is drawn and is markedly elevated.
What is the organ that secretes the follicle-stimulating hormone
(FSH)?
What is the signal that stimulates the release of FSH?
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