Infertility Flashcards
What is subfertility?
Failure of conception in a couple having regular unprotected coitus for one year
What is primary infertility?
When someone who has never conceived a child before has difficulty conceiving
What is secondary infertility?
When someone has had one or more pregnancy in the past, but is having difficulty conceiving again
What are the main causes of subfertility?
30% male factors 25% unexplained 25% ovulatory disorders 20% tubal damage Uterine disorders
What male factors may cause subfertility?
Endocrine - hypothalamus/pituitary disorder Genetic STI Obstruction Coital problems Antispermatogenic agents - heat - drugs
What ovulatory disorders may cause subfertility?
Group 1 = hypothalamic-pituitary failure
- hypothalamic amenorrhea
- hypogonadotrophic hypogonadism
Group 2 = hypothalamic-pituitary-ovarian failure
- polycystic ovary syndrome
- hyperprolactinaemic amenorrhea
Group 3 = ovarian failure
- congenital
- premature ovarian failure
What uterine problems may cause subfertility?
Uterine fibroids
Endometriosis
Pelvic inflammatory disease
What tubal damage may cause subfertility?
Endometriosis
Ectopic pregnancy