T38.6X2

Clinical Causes: Intentional self-poisoning as a form of self-harm or suicidal attempt. Misuse or abuse of medications containing antigonadotrophins, antiestrogens, or antiandrogens. Accidental ingestion, although less common, especially in children or individuals unaware of the substances' effects.

Key Symptoms: Nausea and vomiting Dizziness or lightheadedness Breast tenderness or swelling (for antiestrogens) Changes in libido or sexual function Feminization or masculinization effects depending on the drug class Hormonal imbalances leading to mood changes or fatigue Signs of hormone suppression or excess In some cases, gastrointestinal upset, skin reactions, or allergic responses

Diagnosis Path: Diagnosis involves a combination of clinical evaluation and laboratory testing. Healthcare providers may perform blood and urine tests to detect the presence of specific drugs or their metabolites. Medical history, especially recent medication use or potential exposure, is crucial. Additionally, assessment of mental health status is important to address underlying causes related to self-harm behaviors.

Treatment Protocols: Management of poisoning by these hormones involves stabilization of the patient's vital signs and supportive care. Specific treatments may include: - Activated charcoal administration to reduce drug absorption if presented early. - Symptomatic treatments to address nausea, hormonal imbalances, or other adverse effects. - Close monitoring for potential complications such as hormonal disturbances or organ toxicity. - Psychiatric evaluation and mental health support to prevent future self-harm attempts. - In some cases, specific antidotes or antagonists may be administered depending on the substances involved. Long-term treatment may involve counseling, therapy, or psychiatric care to address underlying psychological issues that led to the intentional self-harm.