3: Infertility and assisted conception Flashcards Preview

Reproduction Week 1 2018/19 > 3: Infertility and assisted conception > Flashcards

Flashcards in 3: Infertility and assisted conception Deck (23)
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1

Why are women typically waiting longer before they have children?

What is the disadvantage of this?

Pursuit of academics, career advancement, other interests

Fertility decreases as you age

2

Which sexually transmitted infection can cause infertility?

Chlamydia

3

The rate of (male / female) infertility is increasing.

male infertility is increasing

4

What is assisted conception treatment?

Any treatment involving one or both gametes being outside the body before fertilisation

5

What are the criteria for receiving IVF free on the NHS?

Must have trouble conceiving / infertility

One partner hasn't had a child

Up to three rounds of IVF per couple

6

What is the most common reason for couples seeking ACT?

Male infertility

7

Eggs can be ___ and used to conceive a child when the mother is ready.

frozen

8

Why is ACT useful re: genetic disorders?

You can test an embryo for a genetic disorder in early stages of development

9

What is the advised alcohol limit for pregnant women?

4 units / week or less

10

What BMI range should a woman ideally be in while pregnant?

19 - 29

reduces risk of malnutrition, growth problems and diabetes

11

Should pregnant women smoke?

Of course not

12

What supplement are ALL pregnant women put on?

Folic acid

reduces likelihood of neural tube defects like spina bifida

400 micrograms routinely, 5 milligrams for high risk women

13

Which infection causes congenital blindness, heart disease and in severe cases, miscarriage or stillbirth?

How is it prevented?

Rubella

Vaccination

14

How are women screened for cervical cancer?

Cervical smear test

15

Which bloodborne diseases should be checked for in newly pregnant women?

Hepatits B and C

HIV

16

What are six types of assisted conception techniques?

Donor insemination

Intra-uterine insemination (IUI)

In vitro fertilisation (IVF)

Intra-cytoplasmic sperm injection (ICSI)

Freezing

Surrogacy

17

What is the difference between donor insemination and intra-uterine insemination?

Intra-uterine insemination - partner's sperm

Donor insemination - sperm belonging to another man other than the partner

18

In both IVF and ICSI, the egg and sperm are taken outside the body and fertilisation takes place in the lab.

What's the difference between these two techniques?

IVF - egg is in a dish, sperm introduced and allowed to swim naturally i.e it's still a race

ICSI - egg is on a slide, sperm cells injected directly into cytoplasm using a needle i.e the race is rigged

19

What is the biggest factor affecting IVF success rate?

Maternal age

20

What is a rare complication of assisted conception therapy?

Ovarian hyperstimulation syndrome (OHSS)

21

What is the presentation of OHSS?

SOB

Abdominal pain

GI upset

Oliguria

22

What is seen on a transvaginal USS of a patient with OHSS?

Loads of follicles in the ovaries

23

Which abnormal pregnancies may occur as a result of assisted conception?

Multiple pregnancy (triplets used to be v common, now they're not)

Ectopic pregnancy