Contraception And Infertility Flashcards
List three types of barrier methods.
- Condoms
- Diaphragm
- Cap
List two types of natural contraception.
- Abstinence
- Coitus interruptus
List four types of hormonal contraception.
- Combined OCP
- Progesterone only pill
- Depot progesterone
- Progesterone implants
How does the combined OCP work?
- Oestrogen and progesterone inhibits FSH and LH by negative feedback
- This inhibits follicular development
- Loss of mid cycle positive feedback by oestrogen
- No LH surge = no ovulation
Define infertility.
Failure to conceive within one year
What is primary infertility?
Failure to conceive with no previous pregnancy
What is secondary infertility?
Failure to conceive with a previous pregnancy
What are the causes of male infertility?
- Abnormal sperm production
- Obstruction of ducts
- Hypothalamic/pituitary dysfunction
What are causes of female infertility.
- Annovulation
- Tubal occlusion
- PCOS
List three hypothalamic causes of annovulation.
- Hyperprolactinaemia
- Weight loss
- Stress
List two pituitary causes of annovulation.
- Pituitary tumour
- Pituitary necrosis
List four ovarian causes of annovulation.
- Ovarian failure
- Menopause
- Chemotherapy
- Radiotherapy
List two causes of tubal occlusion.
- Sterilisation
- PID
How would you investigate tubal occlusion?
- Hysterosalpingogram
- Laparoscopy
How might you treat infertility?
- IVF
- Surgery to overcome tubal occlusion
- Induce ovulation
- Artificial insemination