Infertility Flashcards

1
Q

What is subfertility?

A

Failure of conception in a couple having regular unprotected coitus for one year

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2
Q

What is primary infertility?

A

When someone who has never conceived a child before has difficulty conceiving

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3
Q

What is secondary infertility?

A

When someone has had one or more pregnancy in the past, but is having difficulty conceiving again

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4
Q

What are the main causes of subfertility?

A
30% male factors
25% unexplained
25% ovulatory disorders 
20% tubal damage
Uterine disorders
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5
Q

What male factors may cause subfertility?

A
Endocrine 
- hypothalamus/pituitary disorder
Genetic
STI
Obstruction 
Coital problems 
Antispermatogenic agents
- heat
- drugs
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6
Q

What ovulatory disorders may cause subfertility?

A

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
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7
Q

What uterine problems may cause subfertility?

A

Uterine fibroids
Endometriosis
Pelvic inflammatory disease

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8
Q

What tubal damage may cause subfertility?

A

Endometriosis

Ectopic pregnancy

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