infertility & PCOS Flashcards
1
Q
infertility: regular, unprotected intercourse w/o protection for ____
A
12 months
2
Q
in women >35, cut off for infertility is
A
> 6 month
3
Q
if FSH:LH is abnormal, then chck?
A
insulin: fasting glu
4
Q
how to confirm tubal patency
A
- HSG
2. sonohystogram
5
Q
tx for PCOS
A
clomiphene/letrozole
6
Q
clomiphene is better for ____BMI, letrozole is better for ____BMI
A
lower; higher
7
Q
if known luteal phase defects, how to tx
A
progesterone
8
Q
most common cause of infertility
A
PCOS
9
Q
dx criteria for PCOS (need 2 of 3)
A
- hyperandrogenism
- ovulatory fysfxn
- polycytic ovaries on U/S
10
Q
how many cysts considered polycystic ovaries
A
> 12
11
Q
first line tx for PCOS
A
lifestyle changes + OCP
12
Q
second line tx for PCOS
A
spironolactone
13
Q
role of metformin in PCOS
A
not recommended
14
Q
tx for infertility if no menses
A
provera challenge test
