Infertility

Question 1

Outline the causes to infertility 5 in male 5 in female

Answer 1

Fertilisation requirements
Eggs? Sperms? Tubes?

Ovulatory factors
-PCOS
-Hyperprolactemia
-Thyroid disease
-ovarian insufficiency
-hypothalamic causes

Tubal factors
-PID
-Endometriosis
-Ectopic pregnancy
-Tubal surgery
-abdo surgery

Sperm
-genital trauma
-surgical and urological problems
-cryptochidism/undiscended testes
-childhood infections
-STIs
-occupational and social exposures

Question 2

What diagnostic investigations would you do for infertility

Answer 2

Ovulatory Factor
Mid Luteal Phase Progesterone (D21 Progesterone)

Tubal Factor
Hysterosalpingogram
Laparoscopy & Dye (Chromopertubation)

Male Factor
Semen Analysis

Management investigations : HIV, RPR, Rubella IgG

Question 3

Outline some of the primary interventions to infertility

Answer 3

Supportive and counselling
Weight loss
Exercise
Stress reduction
Smoking cessation

Question 4

What treatment options can you offer for infertility

Answer 4

Ovulation induction with timed intercourse
Artificial insemination (donor/husband sperm)
IVF