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Flashcards in REI Deck (12)
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1

Most common uterine change with Tamoxifen

Uterine polyps (8-36%) Endometrial hyperplasia (1-20%)

2

What fold increase of uterine cancer with Tamoxifen

1.3-7.5x

3

How to diagnose APLS

1 clinical + 1 lab (twice)

4

Diagnosis of premature ovarian failure

age <40

3m amenorrhea

FSH >40 on two measures weeks apart

5

Causes of premature ovarian failure

Fragile X permutations (16-25% of women with this get POI)

XO

17-a-hydroxylase deficiency

Galactosemia

aromatase deficiency

chemo

radiation

viral infection

autoimmune

unknown

 

6

Medication to prevent OHSS

Cabergoline 

7

What BMI to offer bariatric surgery?

>40, or 35 with RF

8

Genetic risk for ICSI

Imprinting disorders - Beckwith Wideman, Angelmans

9

What percentage to OCPs reduce the risk of ovarian cancer

50%! (even for BRCA+ patients!)

Effect lasts 30 years after discontinuation

10

What stages of endometriosis does removal of implants improve fertility

I and II

No evidence for or against III or IV

11

Above how many cm does removal of an endometrioma improve fertility

>4cm

12

First line/most cost effective intervention for unexplained infertility

Clomid WITH IUI

(clomid alone or IUI alone does not increase rate of live birth)