A patient with infertility will begin taking menotropins [Repronex]. The nurse will evaluate this patient's history to determine whether the:
a. patient has a history of hyperinsulinemia.
b. patient has excessive prolactin secretion.
c. patient's pituitary can produce LH and FSH.
d. patient's ovaries are capable of responding to gonadotropins.
D
Menotropins are used when gonadotropin secretion by the pituitary is insufficient to provide adequate ovarian stimulation. Candidates must have ovaries capable of responding to FSH and LH. Metformin is used for hyperinsulinemia. Women with excessive prolactin secretion are treated with cabergoline. Menotropins contain equal amounts of LH and FSH and act directly on the ovaries, so the pituitary's inability to produce these hormones is not a factor for beginning treatment with this drug.
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