16d. Fertility - Female & Male Fertility Flashcards

1
Q

Factors that can impact both female and male fertility

A

Intensive exercise
Stress
Age
Poor methylation

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2
Q

Why is intensive exercise bad for fertility?

A

Raised cortisol production reduces progesterone
Excessive secretion of endorphins interferes with normal production of FSH/LH
Reduced sperm count

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3
Q

Why is stress bad for fertility?

A

Cortisol/adrenaline/noradrenaline can inhibit release of GnRH - responsible for FSH/LH
Reduced cortisol production

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4
Q

Why is ageing bad for fertility?

A

Oocyte numbers diminish with age
Sperm morphology/motility declines with age

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5
Q

What fertility/birth abnormalities increase with age?

A

Chromosomal abnormalities
Poor embryonic development
Implantation failure
Miscarriage risk

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6
Q

Why is poor methylation bad for fertility?

A

Reduced MTHFR activity = poor egg maturity/quality
Reduced fertility in men

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7
Q

Which common MTHFR polymorphism results in reduced MTHFR activity?

A

C677T

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8
Q

What adverse pregnancy outcomes are increased with polymorphisms?

A

Neural tube defects
Pre-eclampsia
Gestational hypertension

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9
Q

Which nutrients are good for improving methylation?

A

B2
B6
B9
B12
Methionine

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10
Q

Food sources of B2/6/9/12 and methionine

A

Dark leafy greens
Avocado
Legumes
Meat/poultry
Eggs
Wholegrains
Nuts
Seeds

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