Assessment of Infertility

Question 1

What factors can increase infertility?

Answer 1

Older women
Chlamydia infections
Obesity

Question 2

What is the definition of infertility?

Answer 2

Failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sex

Question 3

What factors can help with conception?

Answer 3

Woman under 30 yrs
Previous pregnancy
Intercourse during 6 days before ovulation, esp. 2 days before
Woman BMI 20-30
Non smokers
Caffeine intake less than 2 coffees daily
No recreational drug

Question 4

What gynaecological problems can cause infertility?

Answer 4

Hypothalmic:

• Anorexia/Bulimia
• Excessive exercise

Pituitary:

• Hyperprolactinaemia
• tumours
• Sheehan syndrome

Question 5

What other problems can cause infertility?

Answer 5

Chronic renal failure
Testosterone secreting tumours
Congenital adrenal hyperplasia, thyroid
Drugs such as OCP, depo-provera and explanon

Question 6

What are clinical features of Polycystic Ovary Syndrome?

Answer 6

Obesity
Hirsutism or acne
Cycle abnormalities and infertility

Question 7

What are endocrine features of Polycystic ovary syndrome?

Answer 7

High free androgens
High LH
Impaired glucose tolerance