infertility & PCOS

Question 1

infertility: regular, unprotected intercourse w/o protection for ____

Answer 1

12 months

Question 2

in women >35, cut off for infertility is

Answer 2

> 6 month

Question 3

if FSH:LH is abnormal, then chck?

Answer 3

insulin: fasting glu

Question 4

how to confirm tubal patency

Answer 4

1. HSG

2. sonohystogram

Question 5

tx for PCOS

Answer 5

clomiphene/letrozole

Question 6

clomiphene is better for ____BMI, letrozole is better for ____BMI

Answer 6

lower; higher

Question 7

if known luteal phase defects, how to tx

Answer 7

progesterone

Question 8

most common cause of infertility

Answer 8

PCOS

Question 9

dx criteria for PCOS (need 2 of 3)

Answer 9

1. hyperandrogenism
2. ovulatory fysfxn
3. polycytic ovaries on U/S

Question 10

how many cysts considered polycystic ovaries

Answer 10

> 12

Question 11

first line tx for PCOS

Answer 11

lifestyle changes + OCP

Question 12

second line tx for PCOS

Answer 12

spironolactone

Question 13

role of metformin in PCOS

Answer 13

not recommended

Question 14

tx for infertility if no menses

Answer 14

provera challenge test