7. infertility investigations & management Flashcards
when would you refer a female for investigations for infertility? (natural cause)
a women of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the ABSENCE of any known cause of infertility
when would you refer a female for investigations for infertility? (fertility treatment)
a women of reproductive age who is using artificial insemination to conceive (with either a partner or donor sperm) who has not conceived after 6 cycles of treatment, in the ABSENCE of any known cause of infertility
who is treated for early referral for in female?
women > 36 years
known clinical cause of infertility
history of predisposing factors for infertility
what are investigations carried out for female infertility?
follicular phase LH, FSH (Day 2) Luteal phase progesterone (day 21) if ovulating regularly prolactin, androgens, TFTs cervical smear pelvic USS tests of tubal patency
what are investigations carried out for male infertility?
sperm analysis: sperm count, motility etc. antisperm antibodies FSH/LH/ testosterone USS (ultrasound scan) karyotype (chromosome) cystic fibrosis (testicular biopsy)
what are the managements for infertility for induction of ovulation?
clomifene citrate gonadotrophins GnRH agonists weight loss / weight gain dopamine agonists ovum donation
what are the managements for infertility for tubal occlusion?
tubal surgery (re-anastomosis) assisted conception
what are the managements for male factors leading to infertility?
artificial insemination by donor
intracytoplasmic sperm injection
GnRH agonists
dopamine agonists
