Infertility

Question 0

What are causes of annovulation?

Answer 0

Haemochromatosis
Hyperprolactinaemia 
weight loss, exercise, stress
androgen insensitivity 
pituitary tumours 
chemotherapy and radiotherapy

Question 1

What are causes of infertility?

Answer 1

coital problems
annovulation
obstruction
sperm transport

Question 2

What proportions of infertility are due to female, male and unknown?

Answer 2

20% male
20% unknown
60% female

Question 3

What is the definition of infertility?

Answer 3

Inability of a couplle to concieve after a year of trying

Question 4

What would you do to diagnose annovulation?

Answer 4

Day 21 progesterone levels

Question 5

How could you induce annovulation?

Answer 5

anti-oestrogen therapy
gonadotrophins
GnRH

Question 6

Why would the Fallopian tubes be blocked?

Answer 6

Infection
Tubo-ovarian abscess
Endometriosis
Sterilisation

Question 7

How would you diagnose an obstruction in the Fallopian tubes?

Answer 7

hysterosalpinogram

laparoscopy

Question 8

How would you treat an obstruction of the Fallopian tubes?

Answer 8

surgery

assisted contraception

Question 9

Why would there be a problem with sperm production?

Answer 9

GnRH
infection, obstruction
testicular disease
pituitary or hypothalamus

Question 10

What is a low sperm count?

Answer 10

<20 x 10^6 per ml

Question 11

Describe PCOS

Answer 11

increased androgens
Increased LH in comparison to FSH
hair growth
infertility 
DM and CVS 
bigger ovaries

Question 12

How would you treat PCOS

Answer 12

OCP

metformin - inhibits androgens