Infertility Flashcards
What is primary infertility
What is secondary infertility
Primary
Secondary
What is the time needed to diagnose Women 35 and over with infertility
7 months of inability to concieve
What percent is likely to conceive if sexually active in the first year?
85%
Is infertility age related?
Is it race related
Yes
No
What percent of the time is infertility related to males? Females
Males: 20%
Females: 60
15% uexplained
How can infertility be prevented?
WWE – discuss fertility, oocyte cryopreservation
Anovulation associated with weight extremes
Tobacco/recreational drug cessation
Decrease alcohol
Avoid vaginal lubricants
Avoid scrotal hyperthermia
What labs are ordered to diagnose infertility
hCG, TSH PRL Total Testosterone DHEA-S FSH LH estradiol
What lab test can you order to check ovulation in a female
Progesterone level (day 21) during Luteal phase
What is the best test to assess male infertility?
What are the 3 components of it
Semen analysis
- Count
- Motility
- Morphology
What semen count warrants an endocrinologists referral
< 5 million
Low T, High FSH, High LH indicates what in males
Primary Hpogonadism
Low T, Low FSH, Low
Secondary hypogonadism
Low LH, low sperm count, normal testosterone:
possible exogenous steroids
Treatment for infertility in young patients
Patient education–> timed intercourse
Lifestyle modifications
- BMI
- Tobacco cessation
- Diet
Medication of choice for infertility
What are its ADE
Clomiphene citrate
ADE: hot flushes, emotional lability, depression, bloating, visual changes
8% twin gestation rate
