infertility Flashcards
1
Q
/primary infertility
A
never been able to conceive.
2
Q
Secondary
A
have conceived, regardless of the outcome.
3
Q
risk factors?
A
age over 35
BMI <20 or over 30
no prev pregnancies
smoking, alcohol, recreational drugs
4
Q
ovulatory causes ?
A
obesity PCOS thyroid pituitary hypothalamic hypogonadism premature o F pregnancy lactation menopause drugs - delayed return (depo injection) GNRH analogues
5
Q
tubal causes infertility?
A
PID
ectopic
endometriosis
scarring fro sugery
6
Q
uterine causes?
A
fibroids
polyps
Ashermans syndrome - scarring in sude uterus
7
Q
investigation ?
A
BMI, speculum and PV
bloods FSH, LH, oestradiol, mid cycle progesterone, TFT, infection screen, prolactin, testosterone, SHBG
8
Q
a day 21 progesterone of over? confirms ovulation?
A
30
9
Q
progesterone challenge - bleed after 5 day course confirms?
A
oestrogen levels are normal
10
Q
what is a chlamydia screen?
A
swab or urine sample
11
Q
what investigation looks at tubal patency?
A
histo salpinogram
