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Obs and Gynae > Infertility > Flashcards

Infertility Flashcards

1
Q

What should be included in a female history for infertility?

A 
Duration of infertility 
Previous contraception 
Fertility in previous relationships 
Previous pregnancies and complications 
Menstrual history 
Medical and surgical history 
Sexual history 
Previous investigations 
Psychological assessments
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2
Q

What should be looked at in a female examination for infertility?

A 
Weight 
Height 
BMI 
Fat and hair distribution 
Galactorrhoea 
Abdominal examination 
Pelvic examination 
Hirsutism
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3
Q

What is a physical sign of androgen excess in females?

A

Acanthosis nigricans

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4
Q

What should be included in a male history for infertility?

A 
Previous fertility 
Medical and surgical history 
Occupational history 
Sexual history 
Previous investigations and treatments
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5
Q

What should be looked at in a male examination for infertility?

A 
Weight
Height 
BMI 
Fat and hair distribution 
Abdominal and inguinal examination 
Genital examination 
Testicular size 
Testicular maldescent
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6
Q

What STD’s can cause epididymistis?

A

Chlamydia
Gonorrhoea
NSTD

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7
Q

How can cystic fibrosis affect the vas deferens?

A

Can cause mutations and congenital bilateral absence of vas deferens

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8
Q

When should a referral be made for infertility investigations?

A

HIV/Hep B
<35 yrs after 1 year trying
35-45yrs after 6 months trying

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9
Q

What baseline investigations can be offered for infertility?

A

Mid luteal progesterone levels
Semen analysis
Pelvic ultrasound
Tubal patency test

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10
Q

How can polycystic ovary syndrome affect fertility?

A

Infrequent periods
Androgen excess
Polycystic ovaries

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11
Q

How can ovulatory disorders be treated in terms of improving fertility?

A

Weight loss/gain (>18 and <35)

Ovulation induction

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12
Q

What can be used to induce ovulation?

A

Clomiphene

Gonadotrophin therapy

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13
Q

What are the side effects of clomiphene?

A

Vasomotor

Visual

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14
Q

What are the side effects of gonadotrophin therapy?

A

Ovarian hyperstimulation

Multiple pregnancies

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15
Q

How can tubal factor and endometriosis be treated to improve fertility?

A

Surgery

IVF

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16
Q

What can be done if the fertility issues are caused by a male factor?

A 
IVF/ICSI 
Intra-uterine insemination 
Reversal of vasectomy 
Surgical sperm retrieval 
Donor insemination
17
Q

What should be investigated to determine azoospermia?

A

FSH,LH, testosterone, karyotype, PRL

CF screen

Obs and Gynae (27 decks)

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