B8.008 Large Group: Evaulation of Female Infertility

Question 1

normal HPI in female evaluation of fertility

Answer 1

address frequency and timing of intercourse

preconception testing

Question 2

abnormal HPI in female evaluation of fertility

Answer 2

optimize medical health
optimize psychological health
avoid toxins
promote healthy lifestyle

Question 3

evaluation of tubal issues

Answer 3

tranvaginal US

Question 4

evaluation of uterine issues

Answer 4

hysterosalpingogram

Question 5

evaluation of ovarian or unexplained issues

Answer 5

hormonal tests
LH, FSH, AMH
E2
T

Question 6

general causes of female infertility

Answer 6

1. repro tract
2. hormonal imbalances
3. loss of oocytes

Question 7

what is functional hypothalmic amenorrhea

Answer 7

disrupted ovarian and HPO axis due to decreased energy intake

Question 8

treatment for FHA

Answer 8

behavioral modification with increased energy intake
increase in BMI and reversal of the inciting factor (eating disorder, low weight, stress)
gonadotropin therapy with FSH and LH needed for direct stimulation of ovaries

Question 9

how to treat infertility caused by turner syndrome

Answer 9

too few oocytes to pursue fertility with autologous oocytes

donor oocyte and IVF are best alternative

Question 10

contraindications to pregnancy in turner syndrome

Answer 10

cardiac MRI needed to rule out aortic dilatation

pregnancy doubles cardiac output, risk of aortic rupture is increased in this patient population