Infertility Flashcards
What is the difference between primary and secondary infertility?
Primary = THIS couple have NEVER conceived (not even miscarriage, ectopic etc.)
Secondary - have conceived at some point
What is the biggest risk factor for infertility?
Increasing age
How do you assess if a patient has ovulated?
Midluteal (day 21) serum progesterone - 1 wk before day of period
How many times are couples recommended to have sex?
2-3/wk
How is female tubal latency tested?
How does the differ if woman has other co-morbities e.g. endometriosis, PID, previous ectopic pregnancy?
HSG - hysterosalpingogram
Laproscopy and dye
What 2 infections are tested for in infertility?
rubella immunity - if catch during pregnancy crosses placenta and attacks newborn
Chlyamida screen - can cause upper genital infection which leads. to permeant damage
How many couples are affected by infertility?
1 in 6
What is the chance a couple will conceive in the second year of trying?
50%
What defines infertility?
Haven’t conceived in 12 months
Describe 3 parameters for normal semen analysis
Sperm morphology
Motility
Sperm concentration
What is the most common reason for ovulation problems?
PCOS
Testes volume below what is abnormal?
12-25 is normal
What is the cutoff point for female age for NHS Scotland funded IVF?
40
Most common reason for IVF?
Male infertility
How many infertility issues are due to male factors?
50%
