unit 2.3: the biology of controlling fertility Flashcards

(47 cards)

1
Q

in men what is the level is FSH and ICSH in the blood

A

constant

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2
Q

what does the constant level of FSH and ICSH mean

A

a steady quantity of testosterone

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3
Q

as a result of constant steady levels of hormones in men, what type of fertility do they show

A

continuous

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4
Q

what type of fertility do women show

A

cyclical

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5
Q

when is the period of fertility restricted to in women

A

1 - 2 days following ovulation

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6
Q

what are the 2 indicators of a woman’s fertile period

A

temperature
mucus

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7
Q

how many days after ovulation does a temperature change occur

A

approx. 1

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8
Q

how much is temperature change by in women

A

rises by around 0.5°C

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9
Q

what happens after the temperature change

A

it remains this higher level for the remainder of the luteal phase

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10
Q

how can mucus be used to identify the fertile period

A

becomes thing and watery

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11
Q

what does a thin, watery mucus allow

A

easy access of sperm into the reproductive tract

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12
Q

what are the 4 types of treatment of infertility

A

stimulating ovulation
artificial insemination
intra-cytoplasmic sperm injection (ICSI)
in vitro fertilisation (IVF)

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13
Q

what is the process of stimulating ovulation

A

stimulated by drugs that prevent negative feedback of oestrogen on FSH

can also be stimulated by drugs that mimic the action of FSH and LH

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14
Q

what is the result of stimulating ovulation

A

several ova are released at once, known as “super ovulation” and can lead to multiple births

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15
Q

what can stimulating ovulation be used for

A

collected eggs for IVF programmes

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16
Q

what is the process of artificial insemination

A

several samples of semen are collected and each is preserved by freezing until needed, they are defrosted and released together into the partners cervical region during the fertile period

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17
Q

why may artificial insemination be used

A

if a male has a low sperm count

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18
Q

what will be used in artificial insemination if a partner is sterile

A

donor semen with a normal sperm count

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19
Q

what is the process of intra-cytoplasmic sperm injection

A

drawing a healthy sperm into a needle and injecting it directly into an egg to achieve fertilisation

20
Q

why might ICSI be used

A

when a males sperm count is low or many of the mature sperm are defective

21
Q

what is the process of IVF

A

woman is given hormone treatment to stimulate multiple ovulations
eggs are surgically removed using equipment like a syringe
eggs are mixed with sperm in a culture dish containing nutrients to allow fertilisation to occur naturally or using ICSI
fertilised eggs are incubated for 2-3 days to form embryos of 8 cells or more
2 or 3 embryos are inserted into the uterus for implantation
remaining embryos are frozen in case a second attempt is needed

22
Q

what is PGD

A

pre-implantation genetic diagnosis

23
Q

what can PGD indentify

A

genetic disorder
chromosomal abnormalities

24
Q

when can PGD be used

A

before embryos are inserted into the uterus in IVF programmes

25
what are the 3 main physical barriers of contraception
condom diaphragm cervical cap
26
how do physical contraceptions work
prevent the sperm reaching the egg
27
what is an IUD
intra-uterine device
28
what is the structure of the IUD
plastic T-shaped with copper wound round it’s outside
29
how does the IUD work
preventing implantation of an embryo
30
how does the IUD work
the presence of the IUD stimulated the presence of white blood cells which are hostile to the sperm and embryo it impairs the motility of the sperm it irritates the uterine lining making it unreceptive to the embryo
31
what are possible complications of an IUD
inflammation of the uterus ectopic pregnancy
32
what are the 2 sterilisation procedures
vasectomy tubal ligation
33
what is the process of a vasectomy
involved the cutting and tying of 2 sperm ducts, preventing sperm being released
34
what do sperm undergo after a vasectomy
phagocytosis
35
what is the process of tubal ligation
involves cutting and tying the 2 oviducts, preventing eggs meeting sperm
36
what are the 3 main chemical contraceptive methods
oral contraceptive pills morning-after pills mini pills (progesterone only)
37
what is found in the oral contraceptive pill
synthetic oestrogen and synthetic progesterone
38
how is the oral contraceptive pill taken
everyday for 3 weeks from the final day of the previous menstrual cycle
39
how does the oral contraceptive pill work
secretion of FSH and LH are inhibited by synthetic oestrogen and progesterone, follicle maturation remains inhibited and ovulation doesn’t occur
40
what is taken in the 4th week of the oral contraceptive pill
a placebo drug
41
why is a placebo taken during the 4th week
to allow oestrogen and progesterone levels to decrease and as a result allowing menstruation to occur
42
what is the morning after pill and how does it work
a pill containing a higher dose of oestrogen and progesterone taken the day after unprotected sex prevents ovulation or implantation of an embryo if fertilisation has taken place
43
what is a mini-pill
a progesterone only pill
44
what other forms can the mini-pill be taken
a rod in the arm (nexplanon) which can last for up to 3 years
45
how does the mini-pill work
thickens the cervical mucus reducing the viability (motility) of sperm
46
what are the advantages of mini-pills
can be used during breast feeding can reduce cramps and heavy bleeding can be taken by women who cannot have oestrogen can by taken by women who have high blood pressure
47
what are the disadvantages of the mini-pill
must be taken at the same time every day can cause breast tenderness can cause mood swings can cause weight gain can lead to irregular menstruation