USMLE MTB CK chronic lung disease alters the menstrual cycle?

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pzh200707

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MTB CK Page 158: Cystic fibrosis
Genitourinary Involvement
Men are often infertile; 95% have azoospermia, with the vas deferens missing in 20%.
Women are infertile because chronic lung disease alters the menstrual cycle and thick
cervical mucus blocks sperm entry.

what's the mechanism of chronic lung disease induced irregular menstruation? Is it common? Can we see it in pts with COPD, asthma, sarcoidosis?

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