Infertility Flashcards

1
Q

What is the difference between primary and secondary infertility?

A

Primary = THIS couple have NEVER conceived (not even miscarriage, ectopic etc.)

Secondary - have conceived at some point

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2
Q

What is the biggest risk factor for infertility?

A

Increasing age

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3
Q

How do you assess if a patient has ovulated?

A

Midluteal (day 21) serum progesterone - 1 wk before day of period

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4
Q

How many times are couples recommended to have sex?

A

2-3/wk

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5
Q

How is female tubal latency tested?

How does the differ if woman has other co-morbities e.g. endometriosis, PID, previous ectopic pregnancy?

A

HSG - hysterosalpingogram

Laproscopy and dye

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6
Q

What 2 infections are tested for in infertility?

A

rubella immunity - if catch during pregnancy crosses placenta and attacks newborn

Chlyamida screen - can cause upper genital infection which leads. to permeant damage

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7
Q

How many couples are affected by infertility?

A

1 in 6

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8
Q

What is the chance a couple will conceive in the second year of trying?

A

50%

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9
Q

What defines infertility?

A

Haven’t conceived in 12 months

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10
Q

Describe 3 parameters for normal semen analysis

A

Sperm morphology
Motility
Sperm concentration

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11
Q

What is the most common reason for ovulation problems?

A

PCOS

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12
Q

Testes volume below what is abnormal?

A

12-25 is normal

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13
Q

What is the cutoff point for female age for NHS Scotland funded IVF?

A

40

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14
Q

Most common reason for IVF?

A

Male infertility

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15
Q

How many infertility issues are due to male factors?

A

50%

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