This course began with Mary Beth, G1P0, 30wks gestation at her routine prenatal visit. She has been experiencing some changes since her last visit, and she appears anxious as she asks you about them. She has been told that the changes are hormone-related. You understand that she needs information, as well as reassurance that the changes she is experiencing are normal.

Specifically, she complained of:

Your examination of Mary Beth indicates that she has no physical problems. After studying this course, it should be possible to see how each of her symptoms could be caused by normal hormone activity. In fact, some of them could be caused by more than one hormone.

See how well you absorbed the material by playing the matching game below. "Drag" the hormone to the most applicable symptom shown.


As you already know, progesterone is another hormone besides thyroxine that increases the temperature, and makes patients "feel hot." And, estrogen is another hormone responsible for skin changes, besides MSH.

So, there are no simple answers. Naturally, we have to decide what we are going to say to Mary Beth, and how to inform and reassure her. Hormone activity is complex and confusing, and too much information may not help us meet our goals. We chose just a few outcomes that we wanted to achieve, and they were:

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