L11: Infertility - Pt 2 Flashcards

(68 cards)

1
Q

Etiology of Tubal factor in Infertility

A
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2
Q

Etiology of Tubal factor in Infertility

  • Congenital
A
  • Tubal aplasia.
  • Tubal hypoplasia.
  • Tubal diverticulum.
  • Tubal accessory ostium.
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3
Q

Etiology of Tubal factor in Infertility

  • Traumatic
A

Trauma during operation followed by adhesions.

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4
Q

Etiology of Tubal factor in Infertility

  • Inflammatory
A

Following P.I.D β†’ β€œthe commonest cause in the tube”.

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5
Q

Etiology of Tubal factor in Infertility

  • Neoplastic
A

As small cornual fibroid closing the tubal

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6
Q

Etiology of Tubal factor in Infertility

  • Endometriosis
A

It causes pelvic adhesions and abnormal tubal motility.

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7
Q

Etiology of Tubal factor in Infertility

  • Disturbed Physiology
A
  • Spasm of the tubes.
  • Poor ciliary movement.
  • Changed tubal secretions.
  • Failure of picking up mechanism.
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8
Q

CP of Tubal factor in Infertility

A
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9
Q

CP of Tubal factor in Infertility

  • Hx
A

History of:
- Puerperal sepsis
- P.I.D.
- TB.

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10
Q

CP of Tubal factor in Infertility

  • Ex
A
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11
Q

INVx for Tubal factor in Infertility

A
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12
Q

INVx for Tubal factor in Infertility

  • Rads
A
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13
Q

INVx for Tubal factor in Infertility

  • Laparoscopy
A
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14
Q

Laparoscopy for Tubal factor in Infertility

  • Diagnostic
A
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15
Q

Laparoscopy for Tubal factor in Infertility

  • Therapeutic
A
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16
Q

TTT of Tubal factor in Infertility

A
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17
Q

TTT of Tubal factor in Infertility

  • Prophylactic
A

By avoidance of the causes especially infection.

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18
Q

TTT of Tubal factor in Infertility

  • Medical
A

By fibrinolytic drugs as colchicine, hydrotubation OR short-wave TT.

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19
Q

TTT of Tubal factor in Infertility

  • Surgical
A

Usually it is the main line of treatment, and mostly microsurgical procedures via laparoscope.

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19
Q

TTT of Tubal factor in Infertility

  • ART
A

Assisted reproductive technology

β€œbest and commonly used now”.

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20
Q

Commenst Test Tube

A

HSG

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21
Q

Idea of HSG

A

Inject radio opaque dye (Lipiodol and Urograffin) in the uterus to pass through the tubes to the peritoneal cavity.

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22
Q

Timing of HSG

A
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23
Q

Complicatsions of HSG

A
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24
Values of **HSG**
25
Values of **HSG** - Doagnostic
26
Values of **HSG** - Therapeutic
27
Etiology of **Uterine Factor** in Infertility
28
Etiology of **Uterine Factor** in Infertility - Congenital
- Bicornuate, unicornuate. - Didelphys. - Hypoplastic/aplastic.
29
Etiology of **Uterine Factor** in Infertility - Acuired Structural Abnormalities
- Fibroid. - Endometrial polyps. - Asherman's syndrome. - Adenomyosis.
30
Etiology of **Uterine Factor** in Infertility - Inflammatory
- Chronic endometritis. - Tuberculous endometritis. - PID.
31
Etiology of **Uterine Factor** in Infertility - Dysfunctional
- Thin endometrium. - Luteal phase defect.
32
Etiology of **Uterine Factor** in Infertility - Immune
Immune-mediated implantation failure.
33
Etiology of **Uterine Factor** in Infertility - Vascular
Uterine blood flow abnormalities.
34
Dx of **Uterine Factor** in Infertility
35
Dx of **Uterine Factor** in Infertility - CP
36
Dx of **Uterine Factor** in Infertility - INVx
37
TTT of **Uterine Factor** in Infertility
38
Etiology of **Cervical factor** in Infertility
39
Etiology of **Cervical factor** in Infertility - conf=genital
- Stenosis - Mullerian duct abnormalities.
40
Etiology of **Cervical factor** in Infertility - traumatic
- Intracervical adhesions. - Incompetence. - Destruction the mucosa.
41
Etiology of **Cervical factor** in Infertility - Inflammatory
- Endocervicitis. - Erosions. - Any chronic cervicitis causing hostile mucous.
42
Etiology of **Cervical factor** in Infertility - Neoplastic
- Cervical fibroid. - Masses blocking the CX. - Distorting the cervical canal.
43
Etiology of **Cervical factor** in Infertility - Dysfunctional
presence of anti-sperm antibodies.
44
Etiology of **Cervical factor** in Infertility - Cervical Incompetence
It is a cause of recurrent mid-trimester abortion
45
Etiology of **Cervical factor** in Infertility - Hormonal
Decreased estrogen causing decreased mucous and rendering it thick.
46
Dx of **Cervical factor** in Infertility
47
Dx of **Cervical factor** in Infertility - CP
48
Dx of **Cervical factor** in Infertility - INVx
49
TTT of **Cervical factor** in Infertility
50
Etiology of **Vaginal factor** in Infertility
51
Etiology of **Vaginal factor** in Infertility - Congenital
- Vaginal aplasia - Hypoplasia - Septum
52
Etiology of **Vaginal factor** in Infertility - Hostile vaginal Discharge
- Vaginitis - Increased vaginal acidity.
53
Dx of **Vaginal factor** in Infertility
54
Dx of **Vaginal factor** in Infertility - CP
History + examination may detect infection.
55
Dx of **Vaginal factor** in Infertility - INVx
Postcoital tests.
56
TTT of **Vaginal factor** in Infertility
57
Def of **Pelvic & Peritoneal factor** in infertility
gross pathology in the pelvis may disturb the tubes ovaries OR adhesions causing limitation of movement and functions of these organs.
58
Dx of **Pelvic & Peritoneal factor** in infertility
59
Dx of **Pelvic & Peritoneal factor** in infertility - Clinically
History of cause or detection of pelvic mass on examination.
60
Dx of **Pelvic & Peritoneal factor** in infertility - INVx
Laparoscopy β†’ "The best"
61
Dx of **Pelvic & Peritoneal factor** in infertility - TTT
TIT the cause.
62
Def of **ART**
It is any manipulation to male and female gametes to enhance the process of conception.
63
Types of **ART**
64
Indications of **ART**
65
Complications of **ART**
66
Steps of **IVF-ET**
67
Unexplained Infertiliy