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HUNT243 > Lecture 4: Infertility > Flashcards

Lecture 4: Infertility Flashcards

1
Q

Who are Pacific peoples?

A

Diverse population of cultures from many - the 4th largest ethnic group in NZ

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2
Q

What are the 3 Nesian regions?

A

Polynesian, Melanesia and Micronesia

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3
Q

How many people does infertility effect in NZ?

A

1 in 6 couples

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4
Q

What is infertility defined as?

A

the incapacity to fulfil pregnancy after a reasonable time of sexual intercourse

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5
Q

What does the WHO say infertility is?

A

a disease of the male or female reproductive system that affects millions of people of reproductive age worldwide

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6
Q

How is infertility ranked as a global severe disability?

A

5th highest

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7
Q

How many couples worldwide are infertile?

A

50 million couples

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8
Q

What is infertility in males most caused by?

A

Problems in the absence or low levels of ejection of sperm, weight, age and other contributing factors

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9
Q

What is infertility in females most caused by?

A

Various abnormalities of the ovaries, uterus, fallopian tubes and endocrine system. Also PCOS and endometriosis.

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10
Q

Pacific women vs NZ population fertility rate

A

Three births vs two births per women

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11
Q

How many times as likely are pacific people to of of an unhealthy weight compared to NZ population?

A

2.5 times more likely

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12
Q

What is an unhealthy BMI (40) recognised as?

A

Single biggest risk factor that results in poor health outcomes, reduced quality of life, increased health care costs and major contributor to infertility

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13
Q

What is ART?

A

Assisted Reproductive Technology

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14
Q

What is IVF-ET?

A

In Vitro fertilization-embryo transfer

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15
Q

What is GIFT?

A

Gamete intrafallopian transfer

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16
Q

What is ZIFT?

A

Zygote intrafallopian transfer

17
Q

What is FET?

A

Frozen embryo transfer

18
Q

When was the first IVF baby born?

A

1978

19
Q

How long must you have been having sex for to be eligible for ART?

A

unsuccessful after 12 months

20
Q

How old must the women be to be eligible for ART?

A

Must be under 40

21
Q

What BMI must the women have to be eligible for ART?

A

Less than 35 at first appointment and 32 and under at treatment start date

22
Q

How old must the man be to be eligible for ART?

A

Under 55

23
Q

What BMI must the man be to be eligible for ART?

A

Less than 40 at both first appointment and treatment start date

24
Q

How many children can you have to be eligible for ART?

A

If living at home at least half the time, cannot have 2 or more children (of any age, adoption or previous relationship)

25
Q

What residency must someone have to be eligible for ART?

A

Both parties must be NZ citizens, NZ residents or have a valid work visa for over 2 years

26
Q

What must both parties not do for minimum 3 months before treatment?

A

Smoke

27
Q

What is the eligibility criteria for single or lesbian women?

A
  • If they have clear biological causes of infertility
  • Age, BMI, smoking
  • If not pregnant after at least 12 cycles of donor insemination, 6 of which must be in a NZ certified clinic
28
Q

What are examples of clear biological causes of infertility?

A
  • Anovulation or very irregular periods (<20 or >42 days)
  • Known tubal infertility
  • Severe endometriosis
29
Q

What is the eligibility criteria for gay men?

A

Azoospermia

30
Q

When is the FSA typically after GP visit?

A

5 months on average from referral

31
Q

When does the orientation appointment occur after FSA?

A

Approx. 15 to 18 months from placement on waitlist

32
Q

When does treatment occur after waitlist?

A

Approx. 3-4 months from orientation appointment

33
Q

How long is the process of IVF?

A

Over a 2 year process for 1 cycle

34
Q

What are some main issues with health for infertility?

A
  • Losing weight can be very difficult
  • Pacific peoples are generally heavier
35
Q

What are some main healthcare issues for infertility?

A

They want to feel at home and connected, the NZ healthcare system does not do this

36
Q

What is the spiritual influences on infertility?

A

A lot of pacific people are religious
- Science is a dilemma as it challenges the belief and trust in god
- Long held beliefs are now being challenged

37
Q

What are the socio-economic issues with infertility?

A

It is extremely inaccessible and expensive

HUNT243 (11 decks)

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