Hormones and DBAHormones and DBA

Dr Dominic CavlanSt Bartholomew’s Hospital

AgendaTransfusion and the endocrine system

Fertility

Bone health

Steroid precautions

Hypothalamus

Anterior Pituitary

Ovary

Breast

Adrenal

Bone Muscle

Thyroid Testis

Kidney

PituitaryACTH

GH

TSHLH

FSH

LHFSH

PRL

ADH

OXY

LHFSH

OvaryTestis

LH

FSH

Oestrogens

Progesterone

Oestrogens

LHFSH

Oestrogen & Progesteron

e

The PillHRT

LH/FSHRegular

injections

LHFSH

Testosterone

LHFSH

Testosterone

Daily gelor

Monthly injection

LH/FSHRegular

injections

Bone Strength

AnaemiaIron

ChelatorsGrowth Hormone

SteroidsVitamin D

Thyroid

T4 Thyroxine

Daily tablet

Adrenal

ACTH

Steroids

Pituitary

Carry a steroid card & Medic Alert

Double steroid dose when unwell

Emergency steroid injection if vomiting

Steroid Precautions

Questions?