Infertility Flashcards

1
Q

How long must a couple have been having unprotected intercourse without conceiving to be considered infertile?

A

one year

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2
Q

Fancy term for the ability to carry to delivery

A

fecundity

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3
Q

When are women usually most fertile?

A

1-2 days before ovulation (day 11-21 into cycle)

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4
Q

How soon do most women start ovulating after discontinuing OCPs?

A

2 weeks

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5
Q

How long do a sperm and an egg survived after they’re released into the wild?

A

sperm 3-5 days. egg 12-24 hrs

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6
Q

How frequently does a couple trying to conceive need to have sex?

A

btw days 7-20 of the menstrual cycle. Every other day and every third day works

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7
Q

What happens to fecundability as a woman ages?

A

decreases

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8
Q

What is the most important factor in the evaluation of an infertile couple?

A

history

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9
Q

shortness of the fingers and dermatoglyphic abnormalities, peculiar facial appearance

A

kabuki syndrome

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10
Q

Werewolf syndrome. Abnormal amount of hair growth over the body.

A

hypertrichosis

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11
Q

sign of Orchitis or chronic degeneration

A

significant difference in size of testicles

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12
Q

valves within the veins along the spermatic cord do not work properly

A

varicocele

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13
Q

Sperm with progressive motility. Swim fast & straight

A

Grade A

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14
Q

Immotile sperm that fail to move at all.

A

Grade D

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15
Q

How long does a male partner need to be abstinent before submitting a sperm sample?

A

48 hrs

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16
Q

Levels of FSH and LH with primary versus secondary hypogonadism in a male

A

primary- FSH and LH elevated. secondary- FSH and LH decreased

17
Q

What other hormone level should you obtain when evaluating male infertlity?

A

prolactin

18
Q

Progesteron levels greater than what on day 21 is evidence of recent ovulation?

A

> 3ng/mL

19
Q

Most frequently used to evaluate the endometrial cavity

A

Hysterosalpingogram

20
Q

During what phase of the menstrual cycle should a Hysterosalpingogram be performed?

A

follicular

21
Q

for anovulation - 50-150 mg for 5 days starting at day 3-5, if not ovulating in 6 cycles refer to infertility specialist

A

Clomiphene citrate (Clomid)

22
Q

First test for evaluating male infertility

A

sperm analysis

23
Q

Blood tests for evaluating male infertility

A

TSH, testosterone

24
Q

Imaging used to check for anatomical variants like a varicocele in a male

A

ultrasound

25
Q

Initial blood tests used to evaluated infertility in women

A

FSH/LH, TSH, CBC, CMP, lipids, hCG

26
Q

Imagining to check the uterus and fallopian tubes

A

ultrasound and hysterosalpingography (HSG)