Estrogen and progesterone ( Advanced pharmacology) Essay

Estrogen and progesterone ( Advanced pharmacology) - Essay Example Pills containing progesterone also act by secreting thick cervical mucus which blocks the movement of the sperm beyond the cervix. There are many different types of progesterones like synthetic or oral progesterone, crinone, injectible progesterone and progesterone suppositories. Before recommending an oral contraceptive pill which is usually a combined oral contraceptive pill (COCP) to the client, a detailed clinical history must be taken. The history should cover information like the previous and current medications taken by the client, herbal and over the counter remedies and drug usage. In case of women above 35 years and women with a history of cardiovascular disease, diabetes, migraines, gall bladder disease and pulmonary hypertension, COCP recommendation should be avoided (Petitti, 2003). The oral contraceptive may either be a combination birth control pill or a minipill. The combination birth control pill contains both progestin and estrogen and different combinations of active and inactive pills which may be conventional or continuous dosing type. Progestin is the only constituent of the minipill. The combination birth control pills may be monophasic or triphasic. In case of a monophasic birth control pill, every active pill comprises of the same quantity of progestin and estrogen, whereas the triphasic combination birth control pill contains three different types of pills that contain different hormones taken for a period of 3 weeks. Other than oral contraceptives, there are also novel approaches available to prevent conception. Ortho evra is a trans-dermal patch that is worn on any region of the body like abdomen, buttocks, upper arm or upper torso except the breasts that delivers progestin and estrogen in an uninterrupted manner into the blood stream through the skin. Contraception is also achieved through depot specific injections. For instance, Depo provera is medroxyprogesterone acetate which could

The Concept of Ethical Obligations Case Study Example | Topics and Well Written Essays - 1000 words

The Concept of Ethical Obligations - Case Study Example Bush. He is considered to have an exemplary public administration and leadership skills that had been both his strengths and his weaknesses (White, 2008, p. 420). Tenet’s career can be considered unprecedented due to his achievements but there are challenges and dilemmas he had to face when he became the director of Central Intelligence (DCI). There are factors then considered to be the main reasons why in the end his efforts failed. These factors also caused ethical dilemmas on his part. The first dilemma is setting his leadership priorities and holding a highly multitasking position as DCI. Due to the fact that a DCI holds numerous roles, he had to answer to different groups and stake holders. The DCI’s role includes manager of CIA, president’s principal intelligence advisor, and the head of the entire intelligence community of 15 agencies. Tenet’s job is highly complex that even an expert would find it very challenging (White, 2008, p. 421). In his case though, the role is difficult because he is considered as an outsider in the institution. Tenet’s leadership can be considered handicapped due to his lack of experience in different expertise required in the role because â€Å"he had never run for political office, managed a large organization, worked as an intelligence officer, shaped American foreign policy, earned academic credentials by authoring a scholarly publication, or served in the military† (quoted White, 2008, p. 421). His perspective is different from the perspectives of the DIC before him which resulted to a more diplomatic type of leadership. The second dilemma he had to face is related to the prioritization of his ethical concerns. Due to the numerous agencies and institutions with different missions, visions and priorities he has to answer to such as the decision making process in White House, CIA’s intelligence priorities and his own conscience. At different points in