Infertility

Question 1

Infertility defined as

Answer 1

no pregnancy after 12 months

Question 2

2 main tubal factors causing infertility

Answer 2

1- PID and endometriosis
2- adhesions
3- ruptured appendix
4- imperforate hymen (retrograde menstruation, blood accumulates, infection)

Question 3

Diagnosis and treatment of infertility

Answer 3

Hysterosalpingogram

Question 4

After first ovulation how long does it take for menstrual cycles to become regular again?

Answer 4

18 months -

Question 5

Hydrosalpinges

Answer 5

blocked tubes

Question 6

Congenital anomalies in uterus are seen

Answer 6

in recurrent pregnancy loss

Question 7

Uterine factors causing infertility

Answer 7

• congenital
• asherman’s syndrome
• fibroids that are intramural - 5cm cut off
• polyps

Question 8

On the inside a septate and bicornate uterus

Answer 8

DONT look different, x-ray might look the same

Question 9

Difference between a bicornate and septate uterus

Answer 9

the bicornate is a heart onthe outside and inside!

the septate, is normal on the outside

Question 10

Bicornate uterus

septate uterus

Answer 10

Likely have a breach baby

more likely to have a miscarriage

Question 11

Sperm morphology

Answer 11

200-300million sperm per orgasm

WHO guidelines are for 20-40 million/ml

Question 12

Patients who are carriers for CF

Answer 12

Congenital absence of the vas deferens

Question 13

Ovulation medications

Answer 13

1- SERM -
2- Estrogen aromatase inhibitor -
3- recombinant FSH