Male Infertility & ED Flashcards
In couples who are <35 yrs old, infertility is defined as…
no pregnancy after 1 year of unprotected sex
Approximately what percent of infertility cases are due solely to male factor/the male partner
20%
30% male factor contribution in addition to female factor
What are the 4 main causes of male infertility
What is the HPG axis
hypothalamic-pituitary-gonadal axis
(gonadotropin releasing hormone, follicle stimulating hormone, leutenizing hormone, estrogen & testosterone)
What can inhibit GnRH secretion
List some causes of low and high testosterone levels
What is testosterone responsible for
- growth, muscle, bone, hair, sex organ development
- libido
- sperm production
- inhibition of FSH (sperm production)
- can rarely cause infertility if exogenous (sometimes irreversible)
What is the length of a spermatogenic cycle
60-80 days
List some types of male sexual dysfunction
- ejaculatory problems
- low libido
- erectile dysfunction
- peyronie’s disease
- mixed processes
In a pt with ED and HTN, what antiHTN med might you use?
not BBs or thiazide diuretics
In a pt with GERD and ED, what med might you use?
not cimetidine
List the causes and RF for male infertility
What may be seen on PE for male infertility
Describe the testing for male infertility
Describe the treatment for male infertility
Describe the physiology of an erection
Describe the RF and causes of ED
inability to achieve/maintain an erection
Describe some psychological & physical presentations in erectile dysfunction
Describe the testing for erectile dysfunction
Describe the treatment for erectile dysfunction
Describe the use of PDE-5 inhibitors in erectile dysfunction & list the 3 most common meds
