Exam 3 Infertility Flashcards Preview

Q4 Women's Health > Exam 3 Infertility > Flashcards

Flashcards in Exam 3 Infertility Deck (15):
1

Fecundability is?

Probability of achieving preg in once cycle

2

Fecundity is?

Probability of achieving live birth in one cycle

3

Infertility is?

No conception for 12 mo

4

Causes of infertility: Female?

Ovulation dysf
Pelvic or cervical anatomy/occlusions

5

Causes of infertility: Male?

Anatomy
Sperm dysf

6

Fertility exam: F? (7)

Weight
Hirsutism
Galactorrhea
Cervical scarring
Uterine size/shape
Adnexal position, mobility, masses
Uterosacral ligament nodes, tender (endometriosis)

7

Egg eval? (4)

Ovulation
Chromosomes
Basal body temp
LH surge

8

Sperm eval? (5)

Prdxn
Chromosomes
Vas transport
Cervix delivery
Semen

9

Fertilization eval? (4)

Tubal patency
Timing
Toxins
Hysterosalpingogram

10

Early diagnostic cycle looks at? (3)

Basal body temp for entire cycle
Serum LH/FSH, E2, prolactin, TSH (days 1-3)
Sperm count, motility, morph, vol, WBC (days 1-8)

11

Mid diag cycle looks at? (3)

Hysterosalpingogram (HSG) (d 6-10)
Urine ovulation (d 8-12)
Post coital test (day post urine LH surge)

12

Late diag cycle looks at?

Mid-luteal serum progest (1 wks pre menses): >3 = recent ovulation
Endo bx (11 d post LH surge)

13

Other tests? (2)

Endocrine w/u for polycyst
Hysteroscopy if abn HSG

14

Female tx: ↓ ovulation?

BMI?

Cervical?

Clomid

↓ w/i 95% of IBW

Inseminate w/ washed sperm

15

Male tx: Hyperprolactinemia?

Hypothalamic?

DA agonist

GnRH, hCG, FSH