Infertility Flashcards
(1) A couple is said to be infertile if pregnancy does not result after _______ year(s) of normal sexual activity without contraceptives.
2) Normal is minimum __ X per week).
1) one year
2) 2 times
About ____% of couples experience infertility at some point in their reproductive lives.
25%
Decline in fertility beginning in early ______ decade of life.
3rd
Male partner contributes about what percentage of infertility cases.
40%
Initial testing for infertility includes what?
(1) Private consultations with each partner.
(2) Pertinent history:
(3) Gynecologic history
(4) Basic labs
What is Pertinent history to ask for infertility?
(a) History of STI
(b) Prior pregnancies
(c) Alcohol use
(d) Tobacco use (specifically cigarettes)
(e) Recreational drug use
(f) Prescription medications
(g) Use of saunas or hot tubs
(h) Tight underwear(Males)
Gynecologic history to ask for infertility
(a) Menstrual pattern
(b) Contraceptive use history
(c) Family history of infertility and spontaneous abortions
Lab considerations for infertility
(a) CBC
(b) Gonorrhea testing
(c) Chlamydia testing
(d) TSH
(e) Semen analysis
Prognosis
(1) ______ if minor disorders can be identified.
(2) _____ if causes are severe, untreatable or prolonged (greater than 3 years).
1) Good
2) Poor
Infertility
In the absence of identifiable causes ___% of couples will achieve pregnancy within 3 years.
60%
Couples with unexplained infertility who do not achieve pregnancy within ____ years may be offered ovulation induction or assisted reproductive technology such as IVF.
–Women over the age of ___ are offered a more aggressive approach
3 Years
35 y/o
Any patient with concerns of infertility should be referred to WHO for further evaluation?
physician
supervisor or gynecologist
