Infertility

Question 1

Premature menopause advice

Answer 1

IVF

Question 2

Most appropriate test for detecting anovulation (with value) and when should it be taken

Answer 2

Progesterone >20 mmol/L
3-10 days before the first day of the next expected period

Question 3

Absolute contraindication to progesterone pills

Answer 3

Breast Cancer
Undiagnosed bleeding
Ectopic pregnancy or high risk of ectopic pregnancy
Pregnancy

Question 4

Relative contraindications to progesterone pills

Answer 4

Malabsorption syndrome
Severe CLD
Active viral hepatitis
Severe arterial disease

Question 5

One of the most important steps in assessing male infertility secondary to azoospermia (give value)

Answer 5

FSH >2.5, indicative of irreversible testicular failure