Fundamentals of Infertility Flashcards
classic definition of infertility
1 year of attempted pregnancy, normal repro age with regular monthly cycles
Normal chance of becoming pregnant in 6 months
20% chance/month
Which days of menstrual cycle + intercourse = likely pregnancy?
Day of ovulation and 2 days before
hirusitism and oligomennorhea
PCOS
clomiphene
acts by blocking estrogen negative feedback at the estrogen receptor in the hypothalamus –> increased GnRH secretion from the hypothalamus that stimulates FSH secretion from the pituitary
letrozole
aromatase inhibitor
block production of estrogen so that negative feedback is reduced (increases GnRH secretion from hypothalamus –> stimulates FSH secretion from pituitary)
effects of obesity on fertility
- inc rate of miscarriage
- inc rate of ovulatory dysfunction
- dec responsiveness to clomiphene
- dec preg rate even w/ regulator ovulatory cycles