MARRIAGE, SEXUALITY, AND HUMAN REPRODUCTION PART 2 Flashcards
(41 cards)
management of infertility includes:
- controlled ovarian stimulation with intrauterine insemination
- assisted reproductive techniques
First line treatment for those with anovulation and sufficient ovarian
estrogen production
clomiphene citrate
clomiphene citrate is given only in pts with ___
intact hypothalamic-pituitary ovarian axis
– No dominant follicle after administration of clomiphene
clomiphene resistance
risk of multiple pregnancy with clomiphene
5-8%
risk of ovulation induction: – More common with the use of Gonadotropins
(FSH)
ovarian hyperstimulation syndrome
When all follicles rupture at the same time → ___
ascites and effusion
▪ It is the deliberate introduction of sperm into the uterine cavity for the purpose of achieving a pregnancy
through in vivo fertilization (inside the body) by means other than sexual intercourse.
intrauterine insemination
Second-line treatment for unexplained infertility
intrauterine insemination
▪ Intrauterine insemination is the ideal treatment for ___ because it is a progressive
disease.
endometriosis
indications for intrauterine insemination
- unexplained infertility
- minimal to mild endometriosis
- ovulatory dysfunction
- failed ovulation induction alone
- male subfertility
▪ A failure of ___ times of ovulation induction warrants intrauterine insemination.
six
▪ Refers to all techniques involving direct retrieval of oocyte from the ovary.
▪ Involves manipulation of the oocyte
assisted reproductive techniques
indications of ART
- bipolar tubal disease
- severe endometriosis
- > 35 yo with 6 mos failed infertility treatment
- 3rd line treatment for unexplained fertility and ovulatory dysfunction
- when others have failed
The egg and sperm are combined outside the body in a lab, and the resulting embryo is transferred to the uterus.
in vitro fertilization
Sperm and eggs are placed directly into the fallopian tube, allowing fertilization to occur naturally inside the body.
gamete intrafallopian transfer
A fertilized egg (zygote) is cultured in a lab for a short period and then transferred into the fallopian tube.
zygote intrafallopian transfer
Similar to ZIFT, but the embryo is transferred at a later stage of development into the fallopian tube.
tubal embryo transfer
Eggs and sperm are placed into the peritoneal cavity near the fallopian tubes to encourage natural fertilization.
peritoneal oocyte and sperm transfer
According to the Catechism of the Catholic Church, techniques involving only the married couple
(homologous artificial insemination and fertilization) are perhaps less reprehensible yet remain morally
unacceptable since they dissociate the ___ from the ___
sexual act; procreative act
Practice in which a woman bears a child for a couple unable to produce children
in the usual way, usually, because the wife is infertile or otherwise unable to undergo pregnancy
surrogacy / surrogate motherhood
The surrogate mother is impregnated through artificial insemination with the sperm of the husband.
tradition surrogacy
- The wife’s ova and the husband’s sperm are subjected to in vitro fertilization and the resulting embryo is implanted in the surrogate mother.
gestational surrogacy
In both traditional and gestational surrogacy, the surrogate gives up all parental rights, but this
has been subject to legal challenge.
surrogate motherhood