35 years-old female was placed on oral contraceptive,19-nortestosterone (progestational agent) for the past two years. She will most likely develop?
Endometriosis
Pelvic inflammatory disease
Ovarian cancer
Hypertension
Endometrial cancer
Correct answer
Hypertension
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correct answer: D
D IS THE CORRECT ANSWER:
Oral contraceptives are known to increase the liver synthesis of angiotensinogen- the most common cause of hypertension in young women. Patients on oral contraceptive are also prone to develop cervical and hepatocelluar carcinoma, intrahepatic cholestasis and hepatic adenoma.
A IS INCORRECT: OCPs are protective against endometriosis.
B IS INCORRECT: OCPs are protective against pelvic inflammatory disease. C IS INCORRECT: OCPs are protective against ovarian cancer.
E IS INCORRECT: OCPs are protective against endometrial cancer.