Infertility lecture powerpoint Flashcards
god fucking dmamit this is like the 14th god dmam powerpoint in this fucking utineroigher
Infertility
A failure of a COUPLE to conceive after 12 months of regular intercourse without use of contraception in women <35, or 6 months of regular intercourse without use of contraception in women >35 years of age
Fecundability
Probability of acheiving pregnancy in one month, dereases over time and decreases with increasing age,about 1/4 less than 35 and 1/10 over
Primary infertility
couple who has never acheived a pregnancy
Secondary infertility
Couple who has had one previous conception take place
3 categories of fertility problems
- ovulatory disorder
- fallopian tube patency problem
- sperm problem
Most common cause of infertility overall
anovulation
Hydrosalpinges
A common type of tubal blockage that causees infertility due to fluid buildup in the tube
1 in 5 women affected by PID of any cause will become….
…infertile
Uterine leiomyomata/fibroid and pregnancy
can be associated with lower pregnancy rates but not always
Common causes of sperm disorders
- hormone deficiency
- congenital defect
- mechanical testicular damage
- varicocele
- toxins
Normozoospermia
When semen show normal characteristics
Asthenozoospermia
Reduced sperm motility
Teratozoospermia
Sperm with abnormal morphology
Azoospermia
No sperm present in semen
Aspermia
Complete lack of semen
Stress and infertility
Psychological stress has a negative impact on fertility
Infertility evaluation indications
After 12 months for under 35, 6 months for 35-40, less than 6 months for >40 or those with extraneous issue
3 standard tests in initial evaluation of infertility
- Semen analysis to detect male infertility
- documentation of normal ovulatory function or lh test
- hysterosalpingography
Ovarian drilling
2nd line treatment for PCOS where we puncture the ovary 5-10 times with electrocervical needle stimulating in production of sex hormones and some women begin to ovulate as a result
Intrauterine artificial insemination
Most common AI technique used in healthy women because it brings sperm within uterus, no benefit from going inside fallopian tubes,
In vitro fertilization
Test tube baby, involves exogenous fertilization and insertion into uterus
Intracytoplasmic sperm injection
Using a very fine pipette to put a sperm into an egg
Intrafallopian transfers
Place of sperm and egg laparoscopically into fallopian tubes to allow for natural selection of the sperm to occur
