Controlling Fertility Flashcards

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1
Q

what is the fertile period in male?

A

from puberty onwards

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2
Q

what is the fertile period in female?

A

the time around ovulation

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3
Q

why is male fertility described continuous?

A

FSH and ICSH are secreted at a relatively constant level, resulting in a steady testosterone production, promoting sperm production

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4
Q

why is female fertility described as cyclic

A

females have a small fertility period during every cycle. this lasts approximately 5 days around the time of ovulation

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5
Q

how can the ovulation period be established?

A
  • tracking the cycle
  • changes in body temperature
  • changes in cervical mucus
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6
Q

what factors could be linked to reduced fertility in females?

A
  • endometriosis
  • problems ovulating
  • poor egg quality
  • blockage in oviduct
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7
Q

what factors could be linked to reduced fertility in males?

A
  • sperm tube blockage
  • sperm count
  • sperm allergy
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8
Q

what health and lifestyle factors could be linked to reduced fertility?

A
  • age
  • genetics
  • disease
  • anorexia
  • stress
  • obesity
  • poor diet
  • drug misuse
  • smoking
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9
Q

what drugs are used to stimulate ovulation and how do they work?

A
  • drugs that mimic FSH and LH: FSH causes follicular development, LH causes ovulation
  • drugs that prevent negative feedback effect of oestrogen on FSH: FSH continues to be released so folicles continue to develop
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10
Q

what is the possible negative effect of using drugs to stimulate ovulation?

A

super ovulation- resulting in more than one ova being released and therefore there being multiple babies

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11
Q

which fertility treatment would require ovulation stimulating drugs?

A

IVF, the drugs are required to harvest ova from a female for use in an IVF treatment

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12
Q

what is artificial insemination?

A

when several sperm samples are collected over a period of time, the sample is then inserted into the female reproductive tract without intercourse.

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13
Q

what may cause the oviduct to become blocked?

A

it may be due to infection after procedures such as:
- abortion
- miscarriage
- c-section
- pelvic inflammatory disease
- chlamydia

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14
Q

what is the process of IVF?

A
  • a number of ova are harvested after FSH treatment
  • ova is mixed with sperm in a petri dish (in vitro)
  • zygotes are then incubated until they form embryos (at least 8 cells)
  • pre implementation genetic diagnosis is used to identify disorders or anomalies
  • most suitable embryos are then implanted
  • any unused embryos are frozen
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15
Q

when is intracytoplasmic sperm injection (ICSI) used?

A

it can be used after IVF if sperm have very poor mobility or are very low in number

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16
Q

how is ICSI different from IVF?

A

the head if a mature stern is drawn into a hypodermic needle and injected directly into the egg to achieve fertilisation

17
Q

give a summary of PGD (preimplantation genetic diagnosis)

A
  • cells from the embryo are removed
  • cells are tested for genetic abnormalities
  • single gene disorders identified
  • chromosomal abnormalities identified
18
Q

what are physical methods of contraception?

A
  • barriers
  • avoiding fertile periods
  • intrauterine devices
  • sterilisation
19
Q

what examples of barriers?

A
  • condoms
  • cervical cap
  • diaphragms
20
Q

how do barriers work?

A

prevents sperm from entering the uterus and reaching the ovum

21
Q

give an example of an IUD and what it does?

A
  • coil
    it creates a hostile environment for implantation
22
Q

what is sterilisation in males?

A

vasectomy- the cutting and tying of each sperm tube in both testes (so sperm would no longer be found in semen)

23
Q

what is sterilisation in females?

A

tubal ligation- the cutting and tying of each oviduct (prevents sperm form meeting the egg)