Infertility Flashcards
1
Q
Definition of infertility
A
inability to conceive after 1 yr of regular unprotected intercourse
*>35 inability after 6 months
2
Q
Labs for fertility evaluation
A
- Anti-mullerian hormone (AMH) –> detects infertility
- semen analysis –> eval vol, sperm count, motility, vitality & morphology
- hysterosalpingogram (HSG) [x ray] –> provides image of uterus, fallopian tubes, ovaries
3
Q
Treatment for infertility d/t ovulation disorders
A
Ovulation induction
- Letrozole
- Clomiphene
risk of multifetal pregnancy
4
Q
Treatment of infertility d/t insulin resistance
A
metformin
*most commonly w. PCOS
5
Q
How can fertility be optimized
A
- avoid smoking
- limit alcohol use
- limit caffeine use (<200 mg/day)
- BMI range 19-25
- prevent STI exposure
- time fertile periods
6
Q
Medical treatment of infertility
A
- ART (assisted reproductive tech)
- IVF
- GIFT (gamete intrafallopian transfer)
- ZIFT (zygote intrafallopian transfer)
- ICSI (intracytoplasmic sperm injection) 1 sperm injected directly into egg; used w/ IVF or ZIFT
7
Q
Other options for infertility
A
- surrogate/sperm donor
- adoption/fostering
- child free
