Session 7- Intro to Fertility Flashcards
what is subfertility
a couple who are having regular unprotected coitus who have failed to conceive withij one year
secondary infertility
previous pregnancy but struggling to conceive again
pre-testicular causes of infertility in men
endocrine
- hypogonadotropic
- hyperprolactinaemia
- hypothyroidism
- diabetes
coital problems- ejaculatory disorders, erectile dysfunction
infertility prevelance
1 in 7 couples
primary fertility
never been pregnant
testicular causes of male infertility
genetic congenital infective- STI antispermatogenic agents- heat, irradication, drugs and chemo vascualar- yesyicular torsion
post testicular causes of Infertility in men
obstructive
- congenital
- acquired
coital problems
- sexual dysfunction
- hypospadius
group 1 ovulatory disorders
hypothalamic-pituitary failure
- hypothalamic amenorrhoea
- hypogonadotropic hypogonadism
10%
group 2 ovulatory disorders
hypothalamic-pituitary-ovarian dysfunction
- PCOS
- hyperprolactinaemic amenorrhoea
85%
group 3 ovulatory disorders
premature ovarian failure
congenital
5%
physical reasons why implanatation fails
uterine fibroids
conditions causing scarring/ adhesions
mullerian development anomalies
conditons affecting fallopian tube
endometriosis
ectopic pregnancy
pelvic surgery
PID
investigation of male infertilty
semen analysis
bloods
STI
USS
investigations of female infertility
bloods
STI screen
Pelvic USS
management options - specialist
medical treatment- ovulation induction
surgical treatment- to reduce tubal obstructions
assisted repro tech- means of conception by means other than coitus- IVF interuterine insemination
