Infertility

Question 1

infertility is defined as the inability to conceive in what time period of attempted conception?

Answer 1

12 months

start eval at 6 months if

• oligomenorrhea/amenorrhea
• age > 35
• known or suspected pelvic pathology

Question 2

What elements of the history should you gather when interviewing an infertile couple?

Answer 2

• sexual activity
• drug or alcohol use
• caffeine (interferes with muscle contraction of fallopian tubes)
• medication and supplement use
• chronic diseases

Question 3

When evaluating an infertile couple, what hormone should you evaluate first in the female?

Answer 3

Progesterone level on day 21 of cycle

level > 5 indicates ovulation. look for anatomical issues

level < 5 eval cause –> TSH FSH, estradiol, prolactin

Question 4

What lab indicates decreased ovarian reserve?

Answer 4

serum FSH on day 3 of cycle:

increased FSH is associated with poor ovarian response to exogenous gonadotropins and decreased likelihood of successful conception