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1.4.4.1 Introduction to the endocrine and reproductive system and medications
Achievable PTCE
1. Medications
1.4. Medications by organ system
1.4.4. Drugs of the endocrine and reproductive system
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Introduction to the endocrine and reproductive system and medications

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Endocrine system

The endocrine system helps control metabolism and other body functions by releasing hormones into the bloodstream. These hormones are produced by endocrine glands such as the thyroid, pituitary, pancreas, and adrenal glands.

The hypothalamus and pituitary gland play a central role because they help regulate hormone secretion from other glands. When an endocrine gland produces too much hormone (overfunction) or too little hormone (underfunction), it can lead to disease.

Common endocrine disorders include hypothyroidism, diabetes mellitus, Addison’s disease, and Cushing’s syndrome. Many medications used to treat these disorders work by replacing missing hormones or adjusting hormone-related pathways.

Table showing common drug classes and examples of the endocrine system

Drug class Generic name Brand name(s) Primary use
Insulins Insulin Humalog, Humulin R, Lantus Lower blood glucose levels (hypoglycemic)
Biguanides Metformin Glucophage, Riomet Increases insulin sensitivity, lowers blood glucose levels
Sulfonylureas Glipizide, glimepiride GlipiZIDE XL, Amaryl Lowers blood glucose levels
Thiazolidinediones Pioglitazone, rosiglitazone Actos, Avandia Increases insulin sensitivity, lowers blood glucose
Incretin mimetics or analogues Liraglutide, semaglutide Victoza, Ozempic, Wegovy Increase insulin secretion, weight loss
Gliptins (DPP 4 inhibitors) Sitagliptin, linagliptin Januvia, Tradjenta Increase insulin secretion
SGLT 2 inhibitors Dapagliflozin, empagliflozin Farxiga, Jardiance Decrease blood glucose levels
Thyroid hormone supplements Levothyroxine Synthroid Treatment of hypothyroidism
Corticosteroids Fluticasone, prednisone, triamcinolone Flovent, Rayos, Clinacort Anti-inflammatory, autoimmune diseases, Crohn’s disease, eczema, asthma

Reproductive system

The reproductive system includes the gonads (testes and ovaries) and accessory organs. Its main roles are reproduction and the development of secondary sex characters.

Common disorders include polycystic ovarian syndrome (PCOS), endometriosis, erectile dysfunction, and infertility. Many medications used for these conditions include synthetic forms of estrogen, progesterone, and testosterone.

Table showing common drug classes and examples of the endocrine system

Drug class Generic name Brand name(s) Primary use
Androgens Testosterone, methyltestosterone, danazol, oxymetholone Testim, Androgel, Methitest, Danocrine, Anadrol Used in the treatment of fertility issues, to increase muscle mass, as hormone replacement, for endometriosis, and for certain types of breast cancer
Estrogens Ethinyl estradiol, estradiol valerate Climara, Estrace, Estraderm Hormone replacement therapy, osteoporosis, ovarian failure, certain breast and prostate cancers, and treatment of menopausal symptoms
Estrogen and progestin combinations Estrogen with progesterone Estarylla, Yaz, Yasmin, NuvaRing Birth control, hormone replacement, acne, osteoporosis
5 alpha reductase inhibitors Finasteride, dutasteride Propecia, Avodart Benign prostatic hyperplasia, male-pattern baldness
Aromatase inhibitors Letrozole, anastrozole, exemestane Femara, Arimidex, Aromasin Breast cancer treatment
Selective estrogen receptor modulators or SERMs Tamoxifen, raloxifene, clomiphene Nolvadex, Clomid, Fareston, Tamofen, Serophene Breast cancer, osteoporosis, and infertility treatment

Endocrine system

  • Regulates metabolism and body functions via hormones
  • Key glands: thyroid, pituitary, pancreas, adrenal
  • Disorders from hormone imbalance: hypothyroidism, diabetes, Addison’s, Cushing’s
  • Treatments: hormone replacement or pathway modulation

Common endocrine drug classes

  • Insulins: lower blood glucose (Humalog, Lantus)
  • Biguanides: increase insulin sensitivity (Metformin/Glucophage)
  • Sulfonylureas: stimulate insulin release (Glipizide, glimepiride)
  • Thiazolidinediones: increase insulin sensitivity (Pioglitazone, rosiglitazone)
  • Incretin mimetics: increase insulin secretion, weight loss (Liraglutide, semaglutide)
  • Gliptins (DPP-4 inhibitors): increase insulin secretion (Sitagliptin, linagliptin)
  • SGLT2 inhibitors: decrease blood glucose (Dapagliflozin, empagliflozin)
  • Thyroid hormone supplements: treat hypothyroidism (Levothyroxine/Synthroid)
  • Corticosteroids: anti-inflammatory, autoimmune, asthma (Fluticasone, prednisone)

Reproductive system

  • Includes gonads (testes, ovaries) and accessory organs
  • Functions: reproduction, secondary sex characteristics
  • Common disorders: PCOS, endometriosis, erectile dysfunction, infertility
  • Treatments: synthetic estrogens, progestins, androgens

Common reproductive drug classes

  • Androgens: testosterone, methyltestosterone; fertility, muscle mass, endometriosis
  • Estrogens: ethinyl estradiol, estradiol valerate; HRT, osteoporosis, cancers, menopause
  • Estrogen/progestin combos: birth control, HRT, acne, osteoporosis
  • 5 alpha reductase inhibitors: finasteride, dutasteride; BPH, male-pattern baldness
  • Aromatase inhibitors: letrozole, anastrozole; breast cancer
  • SERMs: tamoxifen, raloxifene, clomiphene; breast cancer, osteoporosis, infertility
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Introduction to the endocrine and reproductive system and medications

Endocrine system

The endocrine system helps control metabolism and other body functions by releasing hormones into the bloodstream. These hormones are produced by endocrine glands such as the thyroid, pituitary, pancreas, and adrenal glands.

The hypothalamus and pituitary gland play a central role because they help regulate hormone secretion from other glands. When an endocrine gland produces too much hormone (overfunction) or too little hormone (underfunction), it can lead to disease.

Common endocrine disorders include hypothyroidism, diabetes mellitus, Addison’s disease, and Cushing’s syndrome. Many medications used to treat these disorders work by replacing missing hormones or adjusting hormone-related pathways.

Table showing common drug classes and examples of the endocrine system

Drug class Generic name Brand name(s) Primary use
Insulins Insulin Humalog, Humulin R, Lantus Lower blood glucose levels (hypoglycemic)
Biguanides Metformin Glucophage, Riomet Increases insulin sensitivity, lowers blood glucose levels
Sulfonylureas Glipizide, glimepiride GlipiZIDE XL, Amaryl Lowers blood glucose levels
Thiazolidinediones Pioglitazone, rosiglitazone Actos, Avandia Increases insulin sensitivity, lowers blood glucose
Incretin mimetics or analogues Liraglutide, semaglutide Victoza, Ozempic, Wegovy Increase insulin secretion, weight loss
Gliptins (DPP 4 inhibitors) Sitagliptin, linagliptin Januvia, Tradjenta Increase insulin secretion
SGLT 2 inhibitors Dapagliflozin, empagliflozin Farxiga, Jardiance Decrease blood glucose levels
Thyroid hormone supplements Levothyroxine Synthroid Treatment of hypothyroidism
Corticosteroids Fluticasone, prednisone, triamcinolone Flovent, Rayos, Clinacort Anti-inflammatory, autoimmune diseases, Crohn’s disease, eczema, asthma

Reproductive system

The reproductive system includes the gonads (testes and ovaries) and accessory organs. Its main roles are reproduction and the development of secondary sex characters.

Common disorders include polycystic ovarian syndrome (PCOS), endometriosis, erectile dysfunction, and infertility. Many medications used for these conditions include synthetic forms of estrogen, progesterone, and testosterone.

Table showing common drug classes and examples of the endocrine system

Drug class Generic name Brand name(s) Primary use
Androgens Testosterone, methyltestosterone, danazol, oxymetholone Testim, Androgel, Methitest, Danocrine, Anadrol Used in the treatment of fertility issues, to increase muscle mass, as hormone replacement, for endometriosis, and for certain types of breast cancer
Estrogens Ethinyl estradiol, estradiol valerate Climara, Estrace, Estraderm Hormone replacement therapy, osteoporosis, ovarian failure, certain breast and prostate cancers, and treatment of menopausal symptoms
Estrogen and progestin combinations Estrogen with progesterone Estarylla, Yaz, Yasmin, NuvaRing Birth control, hormone replacement, acne, osteoporosis
5 alpha reductase inhibitors Finasteride, dutasteride Propecia, Avodart Benign prostatic hyperplasia, male-pattern baldness
Aromatase inhibitors Letrozole, anastrozole, exemestane Femara, Arimidex, Aromasin Breast cancer treatment
Selective estrogen receptor modulators or SERMs Tamoxifen, raloxifene, clomiphene Nolvadex, Clomid, Fareston, Tamofen, Serophene Breast cancer, osteoporosis, and infertility treatment
Key points

Endocrine system

  • Regulates metabolism and body functions via hormones
  • Key glands: thyroid, pituitary, pancreas, adrenal
  • Disorders from hormone imbalance: hypothyroidism, diabetes, Addison’s, Cushing’s
  • Treatments: hormone replacement or pathway modulation

Common endocrine drug classes

  • Insulins: lower blood glucose (Humalog, Lantus)
  • Biguanides: increase insulin sensitivity (Metformin/Glucophage)
  • Sulfonylureas: stimulate insulin release (Glipizide, glimepiride)
  • Thiazolidinediones: increase insulin sensitivity (Pioglitazone, rosiglitazone)
  • Incretin mimetics: increase insulin secretion, weight loss (Liraglutide, semaglutide)
  • Gliptins (DPP-4 inhibitors): increase insulin secretion (Sitagliptin, linagliptin)
  • SGLT2 inhibitors: decrease blood glucose (Dapagliflozin, empagliflozin)
  • Thyroid hormone supplements: treat hypothyroidism (Levothyroxine/Synthroid)
  • Corticosteroids: anti-inflammatory, autoimmune, asthma (Fluticasone, prednisone)

Reproductive system

  • Includes gonads (testes, ovaries) and accessory organs
  • Functions: reproduction, secondary sex characteristics
  • Common disorders: PCOS, endometriosis, erectile dysfunction, infertility
  • Treatments: synthetic estrogens, progestins, androgens

Common reproductive drug classes

  • Androgens: testosterone, methyltestosterone; fertility, muscle mass, endometriosis
  • Estrogens: ethinyl estradiol, estradiol valerate; HRT, osteoporosis, cancers, menopause
  • Estrogen/progestin combos: birth control, HRT, acne, osteoporosis
  • 5 alpha reductase inhibitors: finasteride, dutasteride; BPH, male-pattern baldness
  • Aromatase inhibitors: letrozole, anastrozole; breast cancer
  • SERMs: tamoxifen, raloxifene, clomiphene; breast cancer, osteoporosis, infertility