Infertility Flashcards
1
Q
Mycoplasma genitalium treatment?
A
Azithromycin 1gram oral STAT
2
Q
Tubal disease and IVF success rate with and without bilateral salpingectomy?
A
Bilateral salpingectomy - 29%
No salpingectomy - 16%
1/2 pregnancy and live birth rate
2x incidence of miscarriage
3
Q
Tubal surgery proximal and distal occulsion/obstruction?
A
Proximal - tubal catheterisation, tubal cornual anastomoses and tubal lavage
High risk of ectopic IVF preferred
Distal - fimbroplasty, lysis of fimbrial adhesions, dilation of fimbrial strictures, neosalpingostomy
Distal tubal surgery associated with better outcomes