Gynae - fertility Flashcards
1
Q
How does progesterone affect fertility?
A
progesterone < 30 = less likely to ovulate
2
Q
What can cause reduction of progesterone?
A
hypothyroid
PCOS
increased prolactin - check not stress reaction, rule out prolactinoma on hypothalmus
3
Q
What are the 4 things needed to check in an infertility clinic?
A
Are males producing sperm?
Are females ovulating?
Can the sperm and egg meet?
Any other factors?
4
Q
What are some tests for infertility?
A
sperm count mid-luteal phase progesterone hysterosalpingogram USS FSH, AFC, AMH
5
Q
What are some infertility treatments?
A
Clomfaine
Artifical Insemination
in vitro fertilisation
6
Q
How does colmafine work?
A
It is an estrogen receptor blocker so that more estrogen is released for 6 months max
7
Q
What pre-conception advice can be given to couples?
A
Intercourse 2-3x per week folic acid up to date smear and rubella vaccine smoking pre-existing conditions drug history environmnetla/occupational exposure alcohol weight between 19-30 BMI
8
Q
How do you test for ovulation?
A
Day 21 - mid-luteal progesterone
Day 5 - FSH
