infertility

Question 1

when is infertility investigated and referred

Answer 1

• No conception after one year of regular unprotected intercourse

or if womans age is >35 or has a known cause of infertility

Question 2

• Investigation of Post Embryo Transfer of IVF

Answer 2

• Pregnancy test after 2 weeks of IVF
  
  • If positive pregnancy — Ultrasound scan at 7 weeks

Question 3

what investigations used in infertility

Answer 3

are eggs available- age, FSH, AMH, US scan
is ovulation happening- body temp, mucus. LH ovulation test, serum progesterone on day 21
semen analysis
how is intercourse going
hysterosalpingogram or laparoscopic dye test to find if patent fallopian tubes
serum prolactin
TFTs
chlamydia test
pelvis US
rubella immunity
cervical smear

Question 4

management of egg problems infertility

Answer 4

optimise weight
clomiphene citrate and Gonadotrophins to induce ovulation
laparoscopic ovarian drilling

Question 5

management of sperm problems infertility

Answer 5

gonadotrophins
sperm retrieval from epididymis and testis (surgery)
intrauterine insemination (donor)
intracytoplasmic sperm (ICSI)

Question 6

management of tube problems infertility

Answer 6

surgery is limited to mild tubal disease
IVF

Question 7

other management of problems infertility

Answer 7

ablation, resection of spots, adhesiolysis for endometriosis
uterine surgery for polyps and fibroids
cystectomy for endometrioma
adhesiolysis for synechiae

Question 8

management of unresolved infertility

Answer 8

IVF