infertility Flashcards
characteristics of an anovulatory cycle
irregular
no PMS
no cervical mucus changes
monophasic BBT
no LH changes
no structural abnomality
test to evaluate structural anatomy
US– TA and TVUS
sonohysterography– saline sonogram
evaluation for fallopian tube structure
HSG- hysterosalpingography
when evaluating fallopian tubes, what can you do to r/o scarring, fibroids, polyps blocking ostia?
hysteroscopy & sonohysterography
3 ovarian reserve testing
Antral follicle count (AFC)
anti-mullerian hormone (AMH)
FSH and estradiol
what is the normal antral follicle count?
12 (6 per ovary)
what is the AFC with PCOS?
its high but not being released
what would very low AFC mean?
possible ovarian failure
which two ovarian reserve testings must be done at the start/early in cycle?
AFC
FSH & estradiol measure
what does AMH <1 mean?
its low– poor chances
normal FSH levels
<10
FSH levels in ovarian failure
high FSH bc nor enough estrogen being produced
two ways to evaluate uterine cavity/tubal patency?
HSG and saline sonogram
what does HSG allow you to evaluate?
see blocked uterine tube or diaphysis
what does saline sonogram allow you to evaluate?
uses US to outline endometrial cavity for fibroids, polyps, etc
tx of infertility d/t anovulation/PCOS
ovarian stimulating agents
tx of infertility d/t ovarian failure
donor egg/mino protocol
IUI Vs IVF
if enough sperm do IUI (inject sperm into uterus)
if not enough sperm do IVF (outside fertilization)
what is a trophectoderm biopsy?
look at placental cell for DNA makeup
allows you to pick genetically good one to implant
how do you tx infertility if no cause is found?
ovarian stimulation with IUI for 3-6 cycles/months then try IVF if that fails
