infertility

Question 1

characteristics of an anovulatory cycle

Answer 1

irregular
no PMS
no cervical mucus changes
monophasic BBT
no LH changes
no structural abnomality

Question 2

test to evaluate structural anatomy

Answer 2

US– TA and TVUS
sonohysterography– saline sonogram

Question 3

evaluation for fallopian tube structure

Answer 3

HSG- hysterosalpingography

Question 4

when evaluating fallopian tubes, what can you do to r/o scarring, fibroids, polyps blocking ostia?

Answer 4

hysteroscopy & sonohysterography

Question 5

3 ovarian reserve testing

Answer 5

Antral follicle count (AFC)
anti-mullerian hormone (AMH)
FSH and estradiol

Question 6

what is the normal antral follicle count?

Answer 6

12 (6 per ovary)

Question 7

what is the AFC with PCOS?

Answer 7

its high but not being released

Question 8

what would very low AFC mean?

Answer 8

possible ovarian failure

Question 9

which two ovarian reserve testings must be done at the start/early in cycle?

Answer 9

AFC
FSH & estradiol measure

Question 10

what does AMH <1 mean?

Answer 10

its low– poor chances

Question 11

normal FSH levels

Answer 11

<10

Question 12

FSH levels in ovarian failure

Answer 12

high FSH bc nor enough estrogen being produced

Question 13

two ways to evaluate uterine cavity/tubal patency?

Answer 13

HSG and saline sonogram

Question 14

what does HSG allow you to evaluate?

Answer 14

see blocked uterine tube or diaphysis

Question 15

what does saline sonogram allow you to evaluate?

Answer 15

uses US to outline endometrial cavity for fibroids, polyps, etc

Question 16

tx of infertility d/t anovulation/PCOS

Answer 16

ovarian stimulating agents

Question 17

tx of infertility d/t ovarian failure

Answer 17

donor egg/mino protocol

Question 18

IUI Vs IVF

Answer 18

if enough sperm do IUI (inject sperm into uterus)
if not enough sperm do IVF (outside fertilization)

Question 19

what is a trophectoderm biopsy?

Answer 19

look at placental cell for DNA makeup
allows you to pick genetically good one to implant

Question 20

how do you tx infertility if no cause is found?

Answer 20

ovarian stimulation with IUI for 3-6 cycles/months then try IVF if that fails