Infertility Flashcards
What percentage of couple are unable to conceive?
15%
what percentage of couples conceive withing 3 cycles?
45%
What are the principal causes of infertility in males?
low sperm count
diminished sperm motility
What are the principal causes of infertility in females?
Anovulation (leading cause)
Tubal Obstruction
Endometriosis
Unexplained
What are the principal explanations for ovulatory dysfunction?
PCOS (leading cause)
Weight change
Stress
Other
What are the principal explanations for tubal obstruction?
PID (leading cause)
Tubal anomaly
What tests are ran in the evaluation of an infertile couple?
Semen analysis Serum progesterone BBTC Clomid challenge test TSH Prolactin HSG Laparoscopy
What are the tests that assess ovulation?
Serum progesterone
BBTC
What does the clomid challenge test assess?
ovarian reserve
Which test identifies if there is a tubal obstruction
HSG
Why do a TSH test?
rule out hypothyroidism
Which test assesses for a pituitary microadenoma?
Prolactin
What are you looking for in a laporoscopy?
Endometriosis or a uterine anomaly
Treatment of infertility in males
repair of varicocele
intrauterine insemination
ICSI
Donor sperm
What is the difference between a IUI and a ICSI?
IUI places a number of washed out sperm into the uterus
ICSI injects a single sperm into an egg
Treatment of ovulatory dysfunction
Clomiphene citrate
Gonadotropin stimulation
Egg donation
Treatment of a blocked fallopian tube
Surgical repair of obstructed tubes
Invitro fertilization
Treatment for endometriosis
Surgery Medical therapy (oral contraceptives or GnRH agonists)
Treatment of unexplained infertility
IVF
Adoption
What is the expectation of success for IVF?
30-50%
What is a down fall of IVF?
Expensive, most insurance does not reimburse
