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Gineco > Infertilidade > Flashcards

Infertilidade Flashcards

1
Q

Definiçao de infertilidade

A

Ausencia de gravidez apos 1 ano

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2
Q

Principais causas de infertilidade

A

Fator masculino 35%
Fator tuboperitoneal 35%
Anovulaçao 15%

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3
Q

CD paciente <35 anos e > 35 anos

A

< 35: aguardar ate 1 ano

> 35: imediato ou apos 6 meses

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4
Q

Avaliaçao basica da infertilidade

A

FSH, TSH, t4, prolactina, estradiol e progesterona (2 fase)

USGTV

Histerossalpingografia

Espermograma

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5
Q

Avaliaçao avançada de infertilidade

A

Video histeroscopia

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6
Q

Infertilidade masculina: exames

A

Rotina basica

Espermograma

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7
Q

Espermograma normal e anormal

A

Normal: nao repetir

Anormal: repetir apos 3 meses

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8
Q

CD na azoospermia

A

Bx testicular

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9
Q

Investigaçao de fator ovariano

A

Progesterona: no meio da fase lutea > 3 ng/mL

FSH: + usado para reserva ovariana
Bom prognostico: < 10 entre os dias 2-5

USGTV seriada: documenta ovulaçao e contagem de foliculos

Bx de endometrio, curva termica, monitorizaçao do LH

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10
Q

Exame inicial para avaliar fator de trompas

A

Histerossalpingografia

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11
Q

Prova de cotte

A

Trompa pervia: cotte positivo

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12
Q

Padrao ouro para avaliar fator tuboperitoneal

A

Videolaparoscopia

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13
Q

Exames para avaliar fator uterino

A

USGTV e histerossalpingografia

Histeroscopia: padrao ouro

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14
Q

Tto infertilidade masculina

A

Maioria FIV

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15
Q

FIV convencional

A

Oocito e sptz na placa

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16
Q

FIV com ICSI

A

Stpz é injetado no oocito

17
Q

Tto infertilidade por fator tuboperitoneal

A

Laparoscopia

Retirar aderencias, focos de endometriose salpingoplastia

18
Q

Tto infertilidade por fator uterino

A

Retirar polipos ou septos etc

19
Q

Orgao pélvico mais sensivel à radioterapia

A

Ovarios

Pode resultar em infertilidsde

20
Q

Propedeutica da avaliaçao da reserva ovariana

A 
Coletar exames entre o 2-5 dia do ciclo
FSH basal
Estradiol basal
Contagem dos foliculos antrais
Dosagem fator anti mulleriano

Gineco (14 decks)

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