Infertility Flashcards

1
Q

Male Factors Affecting Fertility

A

Varicocele - most treatable - ligation
Testicular Dysfunction
Obstruction

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2
Q

Female Factors Affecting Fertility

A

Ovarian, Tubal, Uterine, Cervical, Peritoneal

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3
Q

When do do an infertility eval?

A

After 1 year of unprotected intercourse
After 6 mo for women >35
As soon as pregnancy desired if: oligomenorrhea, tubal disease, hx of partner infertility

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4
Q

Common Causes of Anovulation

A

PCOS, Hyperprolactinemia, Hypothalamic dysfunction, Primary Ovarian Insufficiency, Thyroid dysfucntion

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5
Q

Who to test ovarian reserve?

A

all women 35+ w/ infertility. unexplained infertility or recurrent miscarriage. risk for diminished ovarian reserve: endometriosis, smoking, family hx of early menopause, ovarian surgery, severe adhesive dieases)

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6
Q

Assessment of Ovarian Reserve

A

Day 3 serum FSH and estradiol
Clomiphene citrate challenge test
Ovarian volume (ultrasound)

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7
Q

Tests for tubal factors

A

Hysterosalpingogram (HSG), Laparoscopy with chromotubation, Tubal cannulation at HSG or laparoscopy, Infusion of fluid into uterus and confirmation of tubal patency during ultrasound

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8
Q

Uterine Assessment

A

Hysterosalpingogram (HSG), Saline hysterogram, hystroscopy, MRI, Endometrial biopsy

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9
Q

Tests for Cervical Factors

A

Cervical cultures for infections. Postcoital test

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10
Q

Maximize Natural Fertility

A

Intercourse every 1-2 days within 2 days of ovulation. Healthy living/diet/weight. No smoking/alcohol/excess caffeine.

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