Infertility Flashcards
What is the definition of infertility?
At least 1 year of random intercourse without contraception
At least 6 months if 35+
At least 6 cycles if accurate charting and timing
What is the treatment for endometriososis?
SurgeryW
What is the treatment for PCOS?
Ovarian wedge resection, clomid, metformin, progesterone
What is the treatment for post-partum depression?
Progesterone
What is the treatment for PMS?
Post peak progesterone
HCG
Naltrexone PO
What is the treatment for a luteal phase defect?
HCG
Post peak progesterone
T/F confirmation of ovulation can only occur by US
TRUE
Everything else is a SECONDARY sign
What are the chart clues of PCOS?
Long irregular cycles
How do you test for PCOS?
Total and free testosterone
Androstenedione
DHEA, FSH, LH
TVUS
What are the chart clues of hyperprolactinemia?
Irregular cycles and luteal phase defect
What are the chart clues for hypothalamic amenorrhea?
Irregular cycles
How do you test for hypothalamic amenorrhea?
FSH
Estradiol
What are the chart clues for diminished ovarian reserve?
irregular cycles
How do you test for diminished ovarian reserve?
FSH, estradiol, AMH, follicle count
What are the chart clues for thyroid disorder?
Irregular cycles
Luteal phase defect
What are the chart clues of stress?
Delayed ovulation and a dry cycle
What are the chart clues for luteal phase defect?
Short post peak phase
What are the chart clues for persistent follicular cyst?
Prolonged mucus cycle
Delayed peak day
What are the chart clues of persistent luteal cyst?
Prolonged post peak phase
What are the chart clues of a uterine polyp?
Spotting near the peak day
Premenstrual spotting
What are the chart clues of a uterine fibroid?
Prolonged/heavy menses
What are the chart clues of chronic endometriosis?
Tail end bleeding
Premenstrual spotting
What are the chart clues of endometrial cancer?
Spotting near peak day
Tail end bleeding
Irregular periods
What are the chart clues of tubal and pelvic adhesions?
Dry cycles
