Fertility Flashcards
1
Q
Most common cause of oligo/an ovulation?
A
Obesity
PCOS
Measure androgens
2
Q
Low FSH: hypodonadism causes?
A
Low weight Stress High physical activity Pituitary tumour, any brain Tumours Kallman Infiltration: sarcoid/haemochromotosis
3
Q
FSH high: Ovarian FAilure causes?
A
Iatrogenic, CHEO/rad Autoimmune, SLE, RA Genetic: Fragile X, XO, FHx Idiopathic Physiological >45 Need oocytes donation
4
Q
Anatomical factors Ix?
A
STI screen Pelvic U/S Hypostyle Laparoscopy Look at renal tract
5
Q
DNA damage in sperm?
A
No repair mechanism, younger male less damage in sperm. Better for older egg
6
Q
IVF process?
A
Super-ovulate Induce oocytes maturation Collect oocytes Fertilization in vitro E bro culture Embryo transfer Vitrification
7
Q
What is ovarian hyperstimulation syndrome
A
Multiple corpus luteum, after embryo has been inserted.3rd spacing of fluids, electrolyte, intravascular, bleeds, clots,
Avoidable with good IVF doctors, drugs to shorten luteal phase
8
Q
PGD
A
Preimplantation genetic diagnosis screening
