Subfertility Flashcards
(15 cards)
First-line treatment for female infertility?
Clomiphene
What is the most common tubal cause of infertility?
Salpingitis
What is salpingitis anyways?
Inflammation of the fallopian tubes
Imaging of choice to assess for tubal causes of infertility?
Hysterosalpingogram (HSG)
Treatment of female infertility when there’s a tubal cause
IVF, can be combined with salpingectomy if patient has PID or endometriosis
Imaging for uterine factors of infertility?
Hysteroscopy and US
Treatment of uterine factors of infertility?
Generally hysteroscopic surgery, but medical treatment if cause is small, like antibiotics for endometritis
What is the study that we do to assess cervical factors?
A post coital exam
What is a post coital exam
Couple has sex 8-12 hours before exam, 1-2 days before ovulation. We then use a syringe to collect vaginal secretions.
What does a positive post coital exam mean, and what is the value for positive result?
> 5 motile sperm/HPF. A positive PCT means everything is normal
What other tests do we do for cervical factors?
Fern test and Spinnbirkit test (to check elasticity)
What is the most common treatment for cervical factor infertility, irrespective of cause?
IUI (Intrauterine insemination)
What is the process that sperm goes through before its insertion in IUI?
centrifugation, rinsed with saline, and centrifuged again
What is ART?
Surgically removing eggs, combining them with sperm in a lab dish, and then placing them back
Who can benefit from ART?
People with low sperm count, decline in egg quality, so on
