Lyrics · 完整歌詞
Later life brings its own rules.
Menopause is confirmed by an FSH above forty with a low oestradiol,
and hormone therapy adds progestogen only when a uterus remains.
Postmenopausal bleeding is endometrial cancer until sampling proves otherwise,
even though atrophy is the commonest cause.
All amenorrhoea is investigated with a pregnancy test before any hormone,
and three months defines the secondary form.
Is the Rotterdam diagnosis made from two of three features,
with obesity and insulin resistance excluded from the criteria?
On the endometrium, unopposed oestrogen from chronic anovulation causes hyperplasia,
so cyclic progestogen protects it.
Luteal life is fixed at fourteen days, LH drives theca androgens,
FSH drives granulosa aromatisation, and letrozole leads ovulation induction.
All amenorrhoea is investigated with a pregnancy test before any hormone,
and three months defines the secondary form.
Is the Rotterdam diagnosis made from two of three features,
with obesity and insulin resistance excluded from the criteria?
On the endometrium, unopposed oestrogen from chronic anovulation causes hyperplasia,
so cyclic progestogen protects it.
Luteal life is fixed at fourteen days, LH drives theca androgens,
FSH drives granulosa aromatisation, and letrozole leads ovulation induction.