infertility and ART Flashcards

(25 cards)

1
Q

what proportion of fertility problems are due to men?

A

4 out of 10

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2
Q

what is oligozoospermia?

A

low sperm count- 1 in 20 men have it

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3
Q

what is athenozoospermia?

A

low sperm motility

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4
Q

what is tetratozoospermia?

A

abnormal sperm

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5
Q

azoospermia?

A

no sperm

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6
Q

what other problems may cause male infertility?

A

hormone imbalance, tumours, tube bloackages, undescended testicles

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7
Q

what are the common causes of ovulation problems in women?

A

age, hormone imbalance, PCOS, under/overactive thyroid glands, premature menopause

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8
Q

other causes of female infertility?

A

uterus/fallopian tube damage, infection, pelvic inflammatory diseases, enomedriosis

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9
Q

what was IVF success rate in 2014?

A

26.5%

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10
Q

what drugs are given to the woman before iVF?

A

drugs that stop ovulation and stimulate production of a large number of eggs (eg by giving FSH)

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11
Q

what must happen to the sperm before IVF?

A

must be given factors that stimulate capacitation

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12
Q

what happens in in vitro maturation?

A

oocytes collected when follicles in antral stage, cultured in presence of FSH prior to fertilisation via IVF or ICSI

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13
Q

what is the advanatge of in vitro maturation?

A

women doesnt need to take drugs

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14
Q

what happens in ICSI?

A

sperm/spermatids injected directly into egg cytoplasm

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15
Q

what is ICSI especially good for?

A

non-motile sperm and by passing normal fertilisation

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16
Q

what happens in GIFT?

A

eggs and sperm combined in vitro then immediately inserted into fallopian tube- fertilisation happens inside the body

17
Q

what happens in ZIFT?

A

eggs and sperm combined in vitro but fertilisation occurs before embryos inserted into fallopian tubes

18
Q

two methods for cyropreservation

A

slow freezing and rapid freezing with cryoprotectants

19
Q

what technique resulted in a live birth in 2016?

A

spindle transfer

20
Q

how is therapeutic cloning carried out?

A

embryo created using SCNT, pluripotent ESCs harvested from inner cell mass of blastocyst, ESC can then differenciate into many cell types

21
Q

what can artifical gametes be made from?

A

germline stem cells, ESCs, induced pluripotent stem cells, somatic cells, in vitro differentitation with/without autotransplantation

22
Q

what artificial gametes have been made in humans?

A

immature eggs grown from stem cells and in vitro development of oocytes from primordial follicles

23
Q

how are ARt babies weight affected?

A

have lower birth weight, gestational age and more frequent premature births

24
Q

what disorders are more likely with ART babies?

A

cerebal palsey, imprinting disorders, cardiovascular disorders, lower insulin levels

25
what may be other reasons for this increase in ART baby abnormalities?
multiple births can increased birth defects, increased chromosomal abnormalities probably due to underlying infertility, older mother age, risk behaviours