Infertility Flashcards
What are some causes of female infertilty?
ovulatory disorders
endometriosis
pelvic adhesions
tubal blockage
tubal abnormalities
hyperprolactineamia
unexplained
- intense exercise, anorexia nervosa;cranial tumors, post irradiation, sheehan syndrome, kallman syndrome, idipathic
- hormones: decreased FSH, LH, Estrodial low
hypogonadotrophic cause of anovulation
- PCOS, idiopathic
- hormones: normal FSH, normal or high LH, normal or high Estradiol
normogondadotrophic
- premature ovarian insufficiency e.g, turner syndrome, post surgery/ chemotherapy/ irradiation, fragile X syndrome
- hormones: increased FSH and LH, decreased estradiol
hypergonadotrophic
- pituitiary microadenomas/microadenomas
- drug induced
hyperprolactinaemia
causes of male infertility
hypogonadism
varicocele
urogenital infection
fertility treatment in which fertilization takes place outside of the woman’s body
in vitro fertilzation
why is IVF better than other fertility treatment?
- bypass fallopian tubes
- overcome fertilization issue/male factor
- methods to increase implantation or avoid genetic disease
- allows for qualitative assesment and selection of embryos
what protocol is used in PCOS?
antagonist protocol
what protocol is used in ovarian failure?
microdose lupron protocol
what are the big three reason for infertility?
ovulatory factors (dyfunction)
structural factors (uterus & tubes)
male factors
female age
ovarian reserve
- regular, cyclic menses
- premenstrual symptoms
- cervical mucus changes
- biphasic BBT
- detectable LH change (LH surge)
Ovulatory cycle