Infertility and Fertility

Question 1

What proportion of couples suffer from infertility?

Answer 1

1 in 6.

Question 2

Ovulation in the menstrual cycle generally occurs when?

Answer 2

14 days before the next menses.

Question 3

At what stage of development is embryo transfer most successful?

Answer 3

Blastocyst.

Question 4

When does LH surge occur in relation to ovulation?

Answer 4

24-36 hours prior to ovulation.

Question 5

Endometrial changes in the luteal phase are a result of the direct effect of which hormone?

Answer 5

Progesterone.

Question 6

For a heterosexual couple with a 5 year history of unexplained fertility, what is the best treatment option?

Answer 6

IVF.

Question 7

For a heterosexual couple who want to have a child, but the male had a vasectomy 3 years ago, what is the best treatment option?

Answer 7

Surgical sperm retrieval and ICSI.

Question 8

For a heterosexual couple who want to have a child, but there is a 2 year history of anovulatory infertility due to PCOS, what is the best treatment option?

Answer 8

Clomifene citrate.

Question 9

In the indirect diagnosis of a viable intra-uterine pregnancy, which is not obvious on an USS, HCG should normally do what?

Answer 9

Doubles by 50% in 48 hours.

Question 10

Describe oligoasthenospermia.

Answer 10

Sperm with a low count and low motility.

Question 11

Describe teratoasthenospermia.

Answer 11

Sperm with low motility and abnormal forms present.

Question 12

Female presents at 6 weeks gestation with heavy vaginal bleeding and abdo. pain. O/E her cervix is slightly open and tissue is visible. On USS foetal heart beat is detected within the uterine cavity.

Answer 12

Inevitable miscarriage.