Fertility

Question 1

What are the chances of a womens tubes being blocked after a chlamydia infection

Answer 1

1/10

Question 2

What is primary infertility ?

Answer 2

A couple who have never conceived despite 12 months of regular unprotected sex

Question 3

What is secondary infertility ?

Answer 3

A couple who concieved even if not a successful pregnancy

Question 4

What is the optimal BMI range for getting pregnant?

Answer 4

18.5-30

Question 5

You suspect a womens tubes are closed, what investigation do you run to confirm this?

Answer 5

Hysterosalpingiogram

• inject die to uterus then xray to see if tubes are open

Question 6

You suspect polyps within the uterus, what tests do you run?

Answer 6

Hysteroscopy also good for endometrial pathology like uterine septum and adhesions

Question 7

What is the general medical treatment for those who want to get pregnant?

Answer 7

400mcg folic acid to prevent encephaly and spina bifida

10mcg Vit D supplement

Vaccination against rubella given as the MMR vaccine

Question 8

Women trying to get pregnant has a submucous fibroid. What is the management?

Answer 8

Surgical removal as will effect fertility

Question 9

Women trying to get pregnant has an intramural fibroid that is 4cm, what is the management?

Answer 9

Leave alone and monitor. If grows to >5cm then remove

Question 10

Women trying to get pregnant has a subserous fibroid. What is the management?

Answer 10

Nothing

Leave alone

Question 11

Women trying to get pregnant has a pedunculated fibroid. What is the management?

Answer 11

Nothing

Leave alone as wont effect fertility

Question 12

What is endometriosus?

Answer 12

The presence of endometrial glands outside the uterine cavity where you menstruate into the pelvis side wall. Presents with pain before period, menorrhagia,