Infertility Flashcards
Infertility is the failure of a couple to achieve conception (get pregnant) after __________ of ________,_____________ sexual intercourse.
12 months
regular, unprotected
Infertility can be described or categorized as _________ or _____________ infertility based on whether the woman has ever been pregnant before.
Infertility can also be grouped into ________,__________,_________, or ___________; based on the identifiable cause(s) of the infertility.
primary or secondary
female factor, male factor, male and female factor, or unexplained infertility
Commonest cause of female infertility
Tubal problem or damage (60%): –__________,_________,_________, and ___________ infections.
Ovulation problems (20%): _________-________ , hyperprolactinaemia*, premature ________________, thyroid disease & adrenal disease
Uterine damage or abnormality (7%) – ___________ syndrome, congenital malformation of the uterus, uterine __________**
Others: Cervical hostility & sperm antibodies, tuberculosis endometritis
PID, STI’s, Post-abortion & Post-partum
anovulation - PCOS; ovarian failure
Asherman’s; fibroids
commonest cause of female infertility in Nigeria is ???
Tubal problems
Causes of male infertility
Disorder of ________
Problem of ____________
_________ problems
spermatogenesis
sperm transport
Ejaculatory
Investigation. In a female partner
List 4
Hormone profile
Assessment of tubal patency
Pelvic Ultrasonography,
Hysteroscopy (if indicated)
Investigation in male partner
____________
Semen ___________
___________
Scrotal scan and testicular biopsy (if indicated)
Seminal fluid analysis
microscopy, culture, and sensitivity
Hormone profile
Treatment Of Female Factor Infertility
Tubal blockage
Mention 2
Assisted reproductive techniques: IVF/ICSI and Embryo Transfer
Tubal reconstructive surgery
Treatment Of Female Factor Infertility
Anovulation
Ovulation induction:
________ therapy
________ therapy (________in resistant PCOS)
Ovulation induction and intrauterine insemination
Assisted reproductive techniques: IVF/ICSI with donor oocyte (for premature ovarian failure)
Medical; surgical ; Ovarian drilling
Treatment of infertility
Unexplained infertility
____________ induction
____________ ___________
_____________________ techniques
Ovulation
Intrauterine insemination
Assisted reproductive
Other treatment options for treatment of infertility
__________
___________
Surrogacy
Adoption
Treatment of male factor infertility
Oligozoospermia
Intrauterine insemination with __________
Intrauterine insemination with ________
______________ techniques: ICSI preferably
husband semen
donor semen
Assisted reproductive
Treatment of male factor infertility
Azoospermia
Intrauterine insemination with _______
______________ techniques:
Sperm aspiration technique + ICSI
IVF/ICSI with donor semen
donor semen
Assisted reproductive
