Infertility Lecture Flashcards
what is the definition of infertility
inability of a coupe to conceive after 12 months of regular intercourse without the use of contraception
what kinds of things should you ask in the female history
duration of infertiliy previous contraception previous fertility menstrual history previous pregnancies menstrual history medical/surgical history sexual history
what kind of things to look for in female examination
weight height for BMI fat and hair distribution abdominal exmaination pelvic examination
what is hirtuism
unwanted male pattern hair growth on females
what is the cause of hirtuism
androgen excess
androgen secretin tumour
what are you looking for in a pelvic examination
masses
pelvic distortion
tenderness
vaginal septum
what is fibroid
benign tumour of the myometrium
what tests should be done on the female
chlamydia
TSH
rubella
what tests should be done on the male
semen analysis
how do you assess ovulation
ask about frequency and regularity of menstrual cycles
prolonged cycles should measure serum progesterone in luteal phase
measure FSH and LH
test for uterine and tubal abnormalities
what should be asked in a male histroy
development
loss of body hair
infections STI
surgical
what should be examined in a male
weight height BMI
abdominal exmination
genital-epidydmis, testes, vas deferens
what is azoospermia
semen without any sperm
wha are the causes of azoospermia
hypogonadism
what are the different types of ovulation disorders
1-hypothalamic pituitary failure
2-hypothalamic pituitary ovarian dysfunction
3-ovarian failure
