Fertility

Question 1

Polyspermia

Answer 1

High number of sperm in the semen sample >250M per ml

Question 2

Normospermia

Answer 2

normal characteristics of sperm in the semen sample

Question 3

Oligospermia

Answer 3

Reduced number of sperm in the sample

1. Mild = 10-15M/mL
2. Moderate = 5-10M/mL
3. Severe = <5M/mL

Question 4

Cryptozoospermia

Answer 4

Very few sperm in semen sample <1M/mL

Question 5

Azoospermia

Answer 5

Absence of sperm in semen

Question 6

Lifestyle causes of Reduced sperm?

Answer 6

Hot baths
Tight underwear
Smoking, Alcohol, Caffeine
Raised BMI

Question 7

GnRH agonist used to prevent menstrual cycle in IVF

Answer 7

Goserelin

Question 8

GnRH antagonist used to prevent menstrual cycle in IVF

Answer 8

Cetrorelix (SC injection)

Question 9

What causes ovarian hyperstimulation syndrome?

Answer 9

Human chorionic gonadotrophin (hCG) used in ovarian stimulation process

Question 10

3 main symptoms of OHSS?

Answer 10

Oedema
Ascites
Hypovolaemia

Question 11

OHSS tends to present within how many days of hCG injection?

Answer 11

7 days

Question 12

Name 5 symptoms of OHSS

Answer 12

1. Abdominal pain and bloating
2. Nausea and vomiting
3. Diarrhoea
4. Hypotension
5. Hypovolaemia
6. Ascites
7. Pleural effusions
8. Renal failure
9. Peritonitis

Question 13

5 main supportive treatment options for OHSS?

Answer 13

1. Oral fluids
2. Monitoring urine output
3. LMWH to prevent VTE
4. Paracentesis (PRN)
5. IV colloids e.g. human albumin solution

Question 14

5 management options for male factor infertility?

Answer 14

Surgical sperm retrieval
Surgical correction of obstruction
Intra-uterine insemination
Intracytoplasmic sperm injection
Donor insemination