Infertility & assisted conception Flashcards
What infections are checked for prior to assisted conception treatment?
Rubella
BBVs (Hep B/C, HIV)
How do you assess ovulation?
Progesterone Day 21
How is intrauterine insemination performed?
Prepared semen inserted into uterine cavity around time of ovulation
In IVF what is used to down regulate prior to the baseline scan?
Synthetic gonadotrophin
How are the ovaries stimulated in IVF?
H containing gonadotrophins (FSH +/- LH)
What is the purpose of the action scan in IVF?
To assess response to FSH
Assess for risk of OHSS
Plan date/timing of HCG injection (mimics LH)
What is the main concerning complication of IVF?
Ovarian HyperStimulation Syndrome (OHSS)
How does OHSS present?
Abdo pain/bloating
Nausea
Diarrhoea
Breathlessness
How is OHSS treated?
if before transfer ‘coasting.elective freeze
If after mnitor,anti-thrombotic
What are the current success rates for IVF?
35%
Which embryological ducts go onto form the repro tract in males?
Wolfian ducts
Which embryological ducts go onto form the repro tract in females?
Mullerian ducts
What causes androgen insensitivity syndrome?
Androgen induction of Wolfian duct does not occur
How is cryptorchidism treated?
Orchidoplexy if <14 y/o (to reduce cancer risk)
If an adult consider orchidectomy
What cells produce testosterone?
Leydig cells
