Infertility Flashcards
causes of obstructive male infertility?
CF
chlamydia
vasectomy
in CF, what anatomical variant causes the infertility?
bilateral absence of vas deferens
normal testicular volume in adults?
12-25mls
Ix for male infertility?
semen analysis endocrine profile chromosome analysis biopsy testicular US
in people with CF, what form of artificial insemination is offered?
ICSI
what happens in ICSI?
sperm extracted from epididymis or testicular tissue
in ICIS, how is the place of sperm retrieval chosen?
if infertility is obstructive (epididymis( non obstructive (testicular tissue)
what form of artificial insemination can be used in those with HIV?
intra uterine insemination
how much alcohol can people undergoing AI Tx have?
<4 units a week
what BMI should people undergoing AI Tx have?
19-29
can people undergoing AI Tx smoke?
no
what must people undergoing AI Tx take?
0.4mg folic acid (until 12wks gestation)
what screening must people undergoing AI Tx have?
rubella
hep b
hep c
HIV
what are the steps of IVF?
down regulation ovarian stimulation oocyte collection fertilisation embryo transfer
what happens in down regulation?
GnRH puts women into menopause
what happens in ovarian stimulation?
HCG given to cause follicle development
what happens in fertilisation?
blastocyst frozen at day 5
what happens in embryo transfer?
embryo transferred
progesterone given
pregnancy test taken 16 days after oocyte collection
features of ovarian hyperstimulation syndrome?
abdo pain bloating nausea diarrhoea SOB
what hormone is used to assess ovarian reserve?
AMH
who can get assisted conception Tx?
regular (2-3x a wk) unprotected sex for a year
2 yrs if no cause found
