Fertility

Question 1

Women are most fertile?

Answer 1

3-4 days b4 ovulation and 1 day after

Question 2

How long is can sperm survive within the female reproductive system?

Answer 2

5 days

Question 3

In a female, the egg is released _______ of ovulation and survives for _______?

Answer 3

• about 14th day

- 24hrs

Question 4

How to calculate the fertile period of a female using the Calendar Rhythm for contraception?

Answer 4

1) record start and end date of the menstrual cycle for 6 months
2) subtract 18 days from the shortest cycle
3) subtract 11 from the longest cycle

Question 5

The standard day method of contraception works best for which women?

Answer 5

for women whose menstrual cycles are 26 - 32 days long

Question 6

Who is advise against using the standard day method for contraception?

Answer 6

• women with irregular periods
• teens
• post partum
• beginning menopause

Question 7

Using the standard day method for contraception, which days are the woman fertile (not safe) or infertile (safe)?

Answer 7

• fertile days: 8-19

- infertile days: 1-7 & 20 through the end of the cycle

Question 8

What are the 4 Symptom-Based Methods?

Answer 8

• Two-Day Method
• Ovulation Cervical
  Mucus Detection Method
• Basal Body Temperature
• Symptothermal Method

Question 9

Basal Body Temperature

Answer 9

• Temperature monitoring in am before rising.
• Ovulation often results in temp rise, but is unreliable
• Fertile period temp elevation through 3 consecutive days of elevated temp.

Question 10

Basal Body Temperature fertile period?

Answer 10

temp elevation through 3 consecutive days

Question 11

Marquette Model

Answer 11

• Uses Cervical mucus monitoring along with Clear Plan Easy fertility monitoring to measure urinary metabolites of Estrogen and LH
  – but also teach use of BBT
  – couples can use monitor alone, or mucus alone or any combination.

Question 12

Fertility Signs?

Answer 12

• Cervical mucus
• Temperature ↑
• ↑ Feelings of sexual desire
• ↑ in estrogen
• ↑ in LH

Question 13

Potential Pitfalls of Using Fertility Awareness Methods: 5 Rs?

Answer 13

• Restriction of sexual spontaneity
• Rigorous daily monitoring
• Required training
• Risk of pregnancy during prolonged training period
• Risk of pregnancy high on unsafe days

Question 14

How much folic acid should a woman include in her diet that has NOT had a child with a NTD?

Answer 14

400mcg or 0.4mg

Question 15

What vitamins and how much are found in OTC and prenatal vitamins?

Answer 15

• Calcium 1200 mg
• Folic Acid 400mcg (0.4mg)
• Vitamin C 70 mg
• Iron 30 mg

Question 16

How much folic acid should a woman include in her diet that HAS had a child with a NTD?

Answer 16

4 mg from at least 4 months preconception through the 4th month of pregnancy