186- infertility

Question 1

Definition of infertility? What percent of couples will get pregnant by that time?

Answer 1

1 year. 85%

Question 2

at what age does fertility peak? how rapidly does it decline?

Answer 2

20-24, only small decrease until 30, then rapid decrease

Question 3

decreased ovarian reserve: what is it?

Answer 3

decline in number and quality of oocytes with age

Question 4

endometriosis: definition? consequences? why does it cause infertility?

Answer 4

endometrial tissue outside of uterus. Responds to hormonal changes and causes pelvic pain and infertility

distorts adnexal anatomy preventing ovum capture. State of chronic inflammation which impairs function of ovaries, uterus, etc

Question 5

what are the five tests we can do to evaluate infertility

Answer 5

semen analysis, documentation of ovulation, assess ovarian reserve, assess uterine cavity, documentation of tubal patency

Question 6

how do you measure ovarian reserve?

Answer 6

day 3 FSH (>10 is decreased OR). AMH (produced by antral follicles in proportion to their number), Antral follicle count (via transvaginal US)

Question 7

How do you assess tubal patency

Answer 7

hysterosalpinogram (HSG), saline infused sonohistogram, laproscopy with chromopertubation