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Medicine II: OBGYN > Infertility > Flashcards

Infertility Flashcards

1
Q

What percentage of couple are unable to conceive?

A

15%

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2
Q

what percentage of couples conceive withing 3 cycles?

A

45%

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3
Q

What are the principal causes of infertility in males?

A

low sperm count

diminished sperm motility

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4
Q

What are the principal causes of infertility in females?

A

Anovulation (leading cause)
Tubal Obstruction
Endometriosis
Unexplained

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5
Q

What are the principal explanations for ovulatory dysfunction?

A

PCOS (leading cause)
Weight change
Stress
Other

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6
Q

What are the principal explanations for tubal obstruction?

A

PID (leading cause)

Tubal anomaly

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7
Q

What tests are ran in the evaluation of an infertile couple?

A 
Semen analysis
Serum progesterone
BBTC
Clomid challenge test
TSH
Prolactin
HSG
Laparoscopy
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8
Q

What are the tests that assess ovulation?

A

Serum progesterone

BBTC

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9
Q

What does the clomid challenge test assess?

A

ovarian reserve

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10
Q

Which test identifies if there is a tubal obstruction

A

HSG

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11
Q

Why do a TSH test?

A

rule out hypothyroidism

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12
Q

Which test assesses for a pituitary microadenoma?

A

Prolactin

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13
Q

What are you looking for in a laporoscopy?

A

Endometriosis or a uterine anomaly

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14
Q

Treatment of infertility in males

A

repair of varicocele
intrauterine insemination
ICSI
Donor sperm

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15
Q

What is the difference between a IUI and a ICSI?

A

IUI places a number of washed out sperm into the uterus

ICSI injects a single sperm into an egg

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16
Q

Treatment of ovulatory dysfunction

A

Clomiphene citrate
Gonadotropin stimulation
Egg donation

17
Q

Treatment of a blocked fallopian tube

A

Surgical repair of obstructed tubes

Invitro fertilization

18
Q

Treatment for endometriosis

A 
Surgery
Medical therapy (oral contraceptives or GnRH agonists)
19
Q

Treatment of unexplained infertility

A

IVF

Adoption

20
Q

What is the expectation of success for IVF?

A

30-50%

21
Q

What is a down fall of IVF?

A

Expensive, most insurance does not reimburse

Medicine II: OBGYN (18 decks)

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