Chapter 46, Problem 15
In the 1960s, the U.S. Food and Drug Administration approved a contraceptive that allowed women to plan desired pregnancies and prevent unwanted pregnancies. Oral hormonal contraception ('the pill') uses synthetic hormones similar in structure to progesterone and/or estradiol. What is the pill's mechanism of action? Use Table 47.2 to compare and contrast the mechanisms of action of emergency contraception and mifepristone to that of the pill. Which methods act as contraception and which act to terminate a pregnancy? Explain.
Video transcript
In the 1960s, the U.S. Food and Drug Administration approved a contraceptive that allowed women to plan desired pregnancies and prevent unwanted pregnancies. Oral hormonal contraception ('the pill') uses synthetic hormones similar in structure to progesterone and/or estradiol. What is the pill's mechanism of action? Use your knowledge of the hormonal regulation of reproduction to predict the effect of a daily synthetic progesterone pill on (a) pituitary secretion of LH and FSH, and (b) ovarian secretion of estradiol and progesterone.
In the 1960s, the U.S. Food and Drug Administration approved a contraceptive that allowed women to plan desired pregnancies and prevent unwanted pregnancies. Oral hormonal contraception ('the pill') uses synthetic hormones similar in structure to progesterone and/or estradiol. What is the pill's mechanism of action? Scientists confirmed the pill's mechanism of action by measuring plasma hormone levels in women before and after they went on the pill (* means P<0.05, ** means P<0.01, and *** means P<0.001). Do the data shown here support the hypothesis that the pill affects hormonal signaling?
In the 1960s, the U.S. Food and Drug Administration approved a contraceptive that allowed women to plan desired pregnancies and prevent unwanted pregnancies. Oral hormonal contraception ('the pill') uses synthetic hormones similar in structure to progesterone and/or estradiol. What is the pill's mechanism of action? Use the information in the graph to explain how the pill affects each of the following: (a) maturation of a follicle, (b) thickening of the uterine lining during the follicular phase, (c) probability of ovulation, and (d) volume of menstrual fluid.
In the 1960s, the U.S. Food and Drug Administration approved a contraceptive that allowed women to plan desired pregnancies and prevent unwanted pregnancies. Oral hormonal contraception ('the pill') uses synthetic hormones similar in structure to progesterone and/or estradiol. What is the pill's mechanism of action? Imagine that four different contraceptives are under development. One blocks ovulation, one blocks fertilization, one blocks cleavage, and one blocks implantation. In the United States, which contraceptive is likely to be the least controversial to bring to market? Why?