Infertility

Question 1

What’s the leading cause of infertility?

Answer 1

Male factor

Question 2

What’s the leading female factor in infertility?

Answer 2

Tubal factor

Question 3

What is normal semen?

Answer 3

> 20 million sperm/ml
50% motility
30% normal morphology

Question 4

The bottom 2.5% of fertile males produce how many sperm per ml?

Answer 4

9 million

Question 5

How do you overcome low sperm count?

Answer 5

IUI if >10 million
IVF if 3-10 million
<3 million ICSI

Question 6

How do you evaluate tubal factor?

Answer 6

Hysterosalpingogram, US, Laparoscopy

Question 7

What are some causes of tubal factor?

Answer 7

Endometriosis
Hydrosalpinx
PID

Question 8

What are the diagnostic criteria for PCOS?

Answer 8

2 of 3:
Ovulatory disfunction
Biochemical or clinical evidence of hyperandrogenism
Polycystic ovaries

Question 9

What is a polycystic ovary?

Answer 9

10 follicles of less than 10mm per ovary (string of pearls)

Thickened ovarian stroma.

Question 10

What factors contribute to predicting ovarian reserve?

Answer 10

Age
FSH/Anti-mullerian hormone
Antral follicle count

Question 11

What uterine factor abnormalities can be treated surgically?

Answer 11

Septate uterus
Leiomyomas
Endometrial polyps
Asherman Syndrome (uterine scars post PID or D&C)