Infertility Flashcards
What is primary infertility?
inability to conceive for one year without contraception; 20% of couples will conceive in first month, 50% after 3, 75% after 6 and 90% after one year
What is best test to evaluate uterine cavity and tubes?
hysterosalpingogram
What is the rate of infertility after a single episode of salpingitis?
15%
What are the 3 Rotterdam criteria for PCOS?
oligomenorrhea, biochemical or clinical evidence of hyperandrogenism and or polycystic ovaries on US
Increased LH/FSH ratio is observed in?
PCOS
What does hyperprolactinemia do to ovulation?
suppresses it
What characterizes exercise induced hypothalamic amenorrhea?
normal FSH and low estrogen levels
What will help determine ovarian reserve?
Anti-mullerian hormone
When is a woman most likely to ovulate?
assuming normal cycles every 28 days, woman is most likely to ovulate on day 14
How long can sperm live?
3 days
How can a woman best tell when she is ovulating in order to conceive?
ovulation predictor kit
The male factor plays a role in ____% of cases of infertility
30%; semen analysis should be done if woman does not appear to have underlying pathology to explain why she has not conceived
What is the first line treatment for ovulatory dysfunction in PCOS patients?
ovulation induction agents