Contraception And Infertility Flashcards

0
Q

List three types of barrier methods.

A
  • Condoms
  • Diaphragm
  • Cap
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1
Q

List two types of natural contraception.

A
  • Abstinence

- Coitus interruptus

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2
Q

List four types of hormonal contraception.

A
  • Combined OCP
  • Progesterone only pill
  • Depot progesterone
  • Progesterone implants
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3
Q

How does the combined OCP work?

A
  • 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
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4
Q

Define infertility.

A

Failure to conceive within one year

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5
Q

What is primary infertility?

A

Failure to conceive with no previous pregnancy

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6
Q

What is secondary infertility?

A

Failure to conceive with a previous pregnancy

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7
Q

What are the causes of male infertility?

A
  • Abnormal sperm production
  • Obstruction of ducts
  • Hypothalamic/pituitary dysfunction
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8
Q

What are causes of female infertility.

A
  • Annovulation
  • Tubal occlusion
  • PCOS
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9
Q

List three hypothalamic causes of annovulation.

A
  • Hyperprolactinaemia
  • Weight loss
  • Stress
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10
Q

List two pituitary causes of annovulation.

A
  • Pituitary tumour

- Pituitary necrosis

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11
Q

List four ovarian causes of annovulation.

A
  • Ovarian failure
  • Menopause
  • Chemotherapy
  • Radiotherapy
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12
Q

List two causes of tubal occlusion.

A
  • Sterilisation

- PID

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13
Q

How would you investigate tubal occlusion?

A
  • Hysterosalpingogram

- Laparoscopy

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14
Q

How might you treat infertility?

A
  • IVF
  • Surgery to overcome tubal occlusion
  • Induce ovulation
  • Artificial insemination
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