Infertility

Question 1

What causes 50% of PID?

Answer 1

chlamydia

Question 2

Abdo pain, deep dyspareunia, bleeding abnormally and cervical excitation?

Answer 2

PID

Question 3

What is the risk of infertility after a single episode of PID?

Answer 3

10-20%

Question 4

What is Premature Ovarian Failure?

Answer 4

loss of normal function of ovaria before age 40

Question 5

What is PCOS?

Answer 5

hyperandrogenism
no/infrequent periods
cysts on ovaries

Question 6

Typical patient with PCOS?

Answer 6

no/infrequent periods, infertility, acne, hirsutism, obesity

Question 7

What cells control spermatogenesis?

Answer 7

sertoli

Question 8

Where is testosterone made?

Answer 8

Leydig cells

Question 9

How many couples does infertility affect?

Answer 9

1 in 7

Question 10

Investigations of infertility?

Answer 10

semen analysis

serum progesterone 7 days prior to next period

Question 11

Key counselling points in couples with infertility?

Answer 11

folic acid
lower BMI
sex every 2-3 days
smoking/drinking advice

Question 12

What does a serum progesterone level of .30nmol/l indicate?

Answer 12

ovulation is occuring

Question 13

What should you do if serum progesterone is ,16 nmol/l?

Answer 13

repeat, if consistently low, refer to specialist