Causes of Infertility (lecture)

Question 1

What is the first step in assessing female infertility?

Answer 1

Screen the man (number one source of couple’s infertility)

Question 2

What are the normal count, percent motility, and percent normal morphology of sperm?

Answer 2

20 million/ml
>50% motile
>30% normal morph

Question 3

How can PID and tuberculosis affect fertility?

Answer 3

Either can lead to obstruction of the fallopian tubes

Question 4

What are the 3 interventions used to overcome a low sperm motility count and the rules of thumb for the use of each?

Answer 4

> 10 million - intrauterine insemination

3 - 10 million - IVF

Question 5

What is hydrosalpinx?

Answer 5

Fluid dilation of the fallopian tube

Question 6

What is required for diagnosis of polycystic ovarian syndrome?

Answer 6

2 of 3:
Ovulatory dysfunction
Hyperandrogenism
Polycystic ovaries

Question 7

What is the Rx treatment of polycystic ovarian syndrome?

Answer 7

Contraceptives

Question 8

What is uterine didelphys and its cause?

Answer 8

A split uterus - improper formation of the uterus (mullerian duct derivative)

Question 9

What is the most common cause of hysterectomy?

Answer 9

Leiomyoma