Infertility Flashcards
How long must a couple have been having unprotected intercourse without conceiving to be considered infertile?
one year
Fancy term for the ability to carry to delivery
fecundity
When are women usually most fertile?
1-2 days before ovulation (day 11-21 into cycle)
How soon do most women start ovulating after discontinuing OCPs?
2 weeks
How long do a sperm and an egg survived after they’re released into the wild?
sperm 3-5 days. egg 12-24 hrs
How frequently does a couple trying to conceive need to have sex?
btw days 7-20 of the menstrual cycle. Every other day and every third day works
What happens to fecundability as a woman ages?
decreases
What is the most important factor in the evaluation of an infertile couple?
history
shortness of the fingers and dermatoglyphic abnormalities, peculiar facial appearance
kabuki syndrome
Werewolf syndrome. Abnormal amount of hair growth over the body.
hypertrichosis
sign of Orchitis or chronic degeneration
significant difference in size of testicles
valves within the veins along the spermatic cord do not work properly
varicocele
Sperm with progressive motility. Swim fast & straight
Grade A
Immotile sperm that fail to move at all.
Grade D
How long does a male partner need to be abstinent before submitting a sperm sample?
48 hrs
Levels of FSH and LH with primary versus secondary hypogonadism in a male
primary- FSH and LH elevated. secondary- FSH and LH decreased
What other hormone level should you obtain when evaluating male infertlity?
prolactin
Progesteron levels greater than what on day 21 is evidence of recent ovulation?
> 3ng/mL
Most frequently used to evaluate the endometrial cavity
Hysterosalpingogram
During what phase of the menstrual cycle should a Hysterosalpingogram be performed?
follicular
for anovulation - 50-150 mg for 5 days starting at day 3-5, if not ovulating in 6 cycles refer to infertility specialist
Clomiphene citrate (Clomid)
First test for evaluating male infertility
sperm analysis
Blood tests for evaluating male infertility
TSH, testosterone
Imaging used to check for anatomical variants like a varicocele in a male
ultrasound
Initial blood tests used to evaluated infertility in women
FSH/LH, TSH, CBC, CMP, lipids, hCG
Imagining to check the uterus and fallopian tubes
ultrasound and hysterosalpingography (HSG)
