Infertility Flashcards Preview

OBGYN > Infertility > Flashcards

Flashcards in Infertility Deck (28):
1

t or f: infertility increases with age of the male partner

FALSE - increases with age of the FEMALE partner

2

female factors account for approximately what percent of couple infertility issues? male?

40-50%; 25% ; in approx 40% of infertile couples there are multiple causes

3

what is the definition of infertility?

inability to conceive after 12 months of unprotected sex

4

what is the definition of primary infertility?

infertility without any prior pregnancies

5

what is the definition of secondary infertility?

infertility with a prior pregnancy

6

what are the main 3 male factors contributing to infertility?

sperm production, function, and obstruction of the ductal system

7

which anti hypertensive medication is known to contribute to impairment of sperm number and function?

CCBs

8

what is the procedure for conducting a sperm analysis?

pt must abstain from sex for 48 hours; semen must be analyzed within 2 hours of ejaculation/collection; 2 collections must occur 4 weeks apart

9

sperm analysis is a reflection of sperm production that has occurred within what time frame?

3 months

10

what is the normal sperm volume? semen count? normal sperm movement? normal morphology? (%)

2 mL; 20 million PER mL; greater than 50% with fwd movement; greater than 40% w/normal morphology

11

what is the cause of most male infertility?

IDIOPATHIC

12

t or f: elevation of basal body temperature is a good indicator that ovulation is taking place

TRUE

13

what is the expected result of day 3 FSH if the pt is anovulatory?

elevated levels

14

if the cause of an ovulation is pituitary inefficiency, what is the treatment?

intramuscular LH/FSH

15

if the cause of infertility is hyperprolactinemia, what is the treatment?

bromocriptine (dopamine agonist) which suppresses prolactin

16

what is the most common treatment for PCOS?

clomid (ovulation induction agent) mixed with metformin (for weight loss)

17

what is the next step in infertility investigations if there is a normal semen analysis and ovulation analysis?

analysis of the internal architecture of the uterus and fallopian tubes is indicated

18

what is asherman's syndrome? what is the mcc? treatment?

intrauterine adhesions; d&c; lysis of adhesions

19

what is the procedure that involves radiopaque dye injected into the cervix and uterus?

hysterosalpingram - dye passes through the fallopian tubes to the peritoneal cavity - demonstrates if there is patency; if there is no spillage into the cavity - it indicates that the tubes may be obstructed

20

when must a hysterosalpinogram be performed?

during the follicular phase (avoid possibility of pregnancy)

21

what is the risk associated with hysterosalpingoram?

salpingitis

22

what is the test of choice for a pt unable to get pregnant with a hx of PID?

hysterosalpinogram - will determine tubal blockage due to prior PID

23

what is the most effective treatment for infertility if the cause is tubal?

in vitro

24

what is the process of intrauterine insemination?

washed sperm is injected into the uterus NOTE: pts must have patent/normal tubes

25

t or f: IVF does NOT increase the chance of multiple gestation

FALSE

26

what is the process of IVF?

egg cells are fertilized OUTSIDE the uterus and implanted into the uterus

27

what is the process of artificial insemination?

sperm (donor most likely) is inserted into the vagina

28

t or f: artificial insemination has a higher success rate when compared to IVF

TRUE; 70% vs. 20%