Lecture 3.1 Flashcards

1
Q

What defines infertility

A

No conception after 12 months of unprotected intercourse

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2
Q

Who defines primary infertility

A

The abscence of a live birht for women who desire a child and have been in a union for at least five years, during which they have not used any contraceptives

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3
Q

WHO defines secondary infertility as

A

Absence of a live birth for women who desire a child and have been in a union for at least five years since their last live birth during which they did not use any contraceptives

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4
Q

3 male infertility factors

A

Abnormal sperm production or function
Problems with the delivery of sperm
Overexposure to certain environmental factors

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5
Q

Abnormal sperm production or function

A

Low sperm count
Abnormal sperm morphology
Abnormal motility of sperm

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6
Q

Normal sperm count

A

15-150 million per mL

22mL per ejaculations

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7
Q

Reasons for abnormal sperm production of function

A
Undescended testicles
Genetic defects/ hormone imbalance 
Health problems 
Infections 
Variocele- enlarged veins of pampiniform plexus
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8
Q

Problems with delivery of sperm

A

Sexual problems

Structural problems/blockages

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9
Q

Sexual problems include

A

Premature ejaculation

Erectile dysfunction

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10
Q

Structural problems include

A

Blockage in the efferent duct , vas deference, urethra
Damage or injury to the reproductive organs
Retrograde ejaculation into bladder

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11
Q

Over exposure to certain environmental factors

A

Pesticides
Smoking, alcohol and certain medications
Frequent exposure to heat
Cancer treatment

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12
Q

Female infertility factors

A

Ovulation disorders
Damage to fallopian tubes
Endometriosis
Uterine or cervical causes

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13
Q

Ovulation disorders

A

Polycystic ovary syndrome (PCOS)
Primary ovarian insufficiency
Hypothalamic dysfunction

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14
Q

Polycystic ovary syndrome causes a

A

Hormone imbalance, which affects ovulation

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15
Q

Oligomenorrhea is

A

Irregular periods

More than 3 months between

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16
Q

Amenorrhea

A

No periods

17
Q

Symptoms of PCOS

A

Oligo/amenorrhea
Obesity, hirsutism
Infertility
Multiple small cysts in ovaries

18
Q

Premature ovarian failure

A

Females under 40 whos ovaries do not functino appropriately due to low estrogen or irregular ovum release

19
Q

Hypothalamic dysfunction- FSH and LH production can be disrupted by

A

Excess physical or emotional stree
A very high or low body weight
A recent substantial weight gain or loss

20
Q

What is hyperprolactinemia

A

Excess production can inhibit FSH and LH production

21
Q

Causes of fallopian tube damage or blockage

A

Pelvic inflammatory disease (due to infection)

Previous surgery of abdomen or pelvis

22
Q

Hysterosalpingogram

A

X ray dye introduced into uterus to assess for obstruction

23
Q

Endometriosis causes

A

Scarring/ adhesions to fallopian tubes

Inflammation of endometrium disrupting implantation of the egg

24
Q

Uterine or cervical causes of infertility

A

Benign polyps or tumors
Uterine abnormalities
Cervical stenosis
Abnormal cervical mucus

25
Q

Hysteroscopy

A

Imaging technique to assess uterus and carvix

26
Q

Sonohysterogram

A

Introduction of saline solution into uterus and US to further assess endometrial lining and obstructions