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Flashcards in Assessment of Fertility Deck (11):
1

define infertility?

failure to achieve a clinical pregnancy after 12 months of regular unprotected sex in a couple who have never had a child

primary- never conceived
secondary- previously conceived but may not have been successful

2

factors increasing chance of conception

woman

3

female causes of infertility?

ovulation failure
tubule damage
endometriosis

4

name some infective tubal diseases?

Pelvic inflammatory disease
chlamydia, gonorrhoea
TB

appendicitis (spread)

5

name some non infective tubal problems?

endometriosis
surgical
fibroids
polyps
congenital

6

chocolate cysts on US scan

endometriosis

7

what is endometriosis?

presence of endometrial glands outside uterine activity

8

chronic pelvic pain
painful pooing
menorrhagia
dysmenorrhoea
dysparenuia

endometriosis

9

male causes of infertility

semen disorders
testicular failure
obstruction
erectile dysfunction
varicocele
chryptochidism
idiopathic

10

how do you investigate the infertile female?

BMI
body hair distribution
pelvic exam
general exam
endometrial swab_STI check
blood for rubella immunity
mid luteal progesterone
tubal patency test
urinalysis

USS if abnormal pelvic exam

11

how do you investigate the infertile male?

BMI
general exam
genital exam
semen analysis
scrotal ultrasound
urinalysis