Infertility Flashcards
1
Q
Definition
A
Infertility is the diminished ability of a couple to conceive a child. This may result from a definable cause such as ovulatory, tubal, or sperm problems, or may be an unexplained failure to conceive over a two-year period.
2
Q
Risk factors
A
Increasing age
Obesity
Smoking
Excessive alcohol consumption
3
Q
Aetiology
A
Genetic conditions
Sperm problems
Ovulation problems
Tubal problems
Uterine problems
Unexplained
4
Q
Diagnosis
A
- BMI
- Chlamydia screening
- Female hormonal testing: LH, FSH, anti-mullerian hormone, TFTs, prolactin
- Serum progesterone = test 7 days before end of cycle
- 28 day cycle = test at day 21
- 35 day cycle = test at day 28
- Semen analysis
- Sperm count, motility, and morphology
- Rubella immunity in mother
- USS pelvis, hysterosalpingogram, laparoscopy and dye test
5
Q
Treatment
A
- Lifestyle modification: weight loss, smoking cessation
- Tx. underlying cause
- Medical interventions: Use of fertility drugs, hormone therapy, or surgery (e.g., to remove fibroids or endometriosis).
- Assisted reproductive technology: In vitro fertilization
