Assessment of Fertility

Question 1

define infertility?

Answer 1

failure to achieve a clinical pregnancy after 12 months of regular unprotected sex in a couple who have never had a child

primary- never conceived
secondary- previously conceived but may not have been successful

Question 2

factors increasing chance of conception

Answer 2

woman

Question 3

female causes of infertility?

Answer 3

ovulation failure
tubule damage
endometriosis

Question 4

name some infective tubal diseases?

Answer 4

Pelvic inflammatory disease
chlamydia, gonorrhoea
TB

appendicitis (spread)

Question 5

name some non infective tubal problems?

Answer 5

endometriosis
surgical
fibroids
polyps
congenital

Question 6

chocolate cysts on US scan

Answer 6

endometriosis

Question 7

what is endometriosis?

Answer 7

presence of endometrial glands outside uterine activity

Question 8

chronic pelvic pain
painful pooing
menorrhagia
dysmenorrhoea
dysparenuia

Answer 8

endometriosis

Question 9

male causes of infertility

Answer 9

semen disorders
testicular failure
obstruction
erectile dysfunction
varicocele
chryptochidism
idiopathic

Question 10

how do you investigate the infertile female?

Answer 10

BMI
body hair distribution
pelvic exam
general exam
endometrial swab_STI check
blood for rubella immunity
mid luteal progesterone
tubal patency test
urinalysis

USS if abnormal pelvic exam

Question 11

how do you investigate the infertile male?

Answer 11

BMI
general exam
genital exam
semen analysis
scrotal ultrasound
urinalysis