Fertility Flashcards
If a woman’s partner had mumps as a child, what is the most appropriate investigation to carry out to confirm fertility?
Semen analysis
How do you diagnose ashermans syndrome?
Hysteroscopy- intrauterine adhesions develop as a result of vigorous curettage. the result is hypomenorrhea or light periods.
What is the first line investigation to check tubal patency, following an ectopic or pain and discharge with the IUD?
Using a dye pertubation and laparoscopy,
What effect can anti-psychotic drugs have on fertility?
You should test serum prolactin because they can lead to hyperprolactinaemia with resulting amenorrhoea, oligomenohoea and infertility.
What should all parents trying to conceive be advised?
Folic acids supplements should be taken and their rubella immunity should be checked.
What can happen in around 70% of men who undergo a vasectomy reversal?
They will have anti-sperm antibodies.
What is the problem with anti-sperm anti-bodies?
They can impair motility as they can lead to sperm clumping and this impairs the ability to fertilise an egg. (women can develop antisperm antibodies too, however this is uncommon)
What is lanugo hair?
This is generally found in newborn babies and those with chronic malnutrition. It is an important sign to remember as it can be found in patients with anorexia nervosa.
