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Inflammation of the synovial membrane is associated with liberation of inflammatory mediator substances that, among other actions, chemotactically stimulate migration (diapedesis) of phagocytic blood cells (granulocytes, macrophages) into the synovial tissue. The phagocytes produce destructive enzymes that promote tissue damage.
Menstrual bleeding ensues, which prevents implantation of the fertilized ovum (normally on the 7th day after fertilization, p. 74). Similarly, implantation can be inhibited by mifepristone, which is an antagonist at both progesterone and glucocorticoid receptors and which also offers a noninvasive means of inducing therapeutic abortion in early pregnancy. Stimulation of ovulation. |
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