Male Infertility & ED Flashcards

1
Q

In couples who are <35 yrs old, infertility is defined as…

A

no pregnancy after 1 year of unprotected sex

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2
Q

Approximately what percent of infertility cases are due solely to male factor/the male partner

A

20%

30% male factor contribution in addition to female factor

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3
Q

What are the 4 main causes of male infertility

A
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4
Q

What is the HPG axis

A

hypothalamic-pituitary-gonadal axis

(gonadotropin releasing hormone, follicle stimulating hormone, leutenizing hormone, estrogen & testosterone)

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5
Q

What can inhibit GnRH secretion

A
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6
Q

List some causes of low and high testosterone levels

A
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7
Q

What is testosterone responsible for

A
  • growth, muscle, bone, hair, sex organ development
  • libido
  • sperm production
  • inhibition of FSH (sperm production)
  • can rarely cause infertility if exogenous (sometimes irreversible)
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8
Q

What is the length of a spermatogenic cycle

A

60-80 days

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9
Q

List some types of male sexual dysfunction

A
  • ejaculatory problems
  • low libido
  • erectile dysfunction
  • peyronie’s disease
  • mixed processes
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10
Q

In a pt with ED and HTN, what antiHTN med might you use?

A

not BBs or thiazide diuretics

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11
Q

In a pt with GERD and ED, what med might you use?

A

not cimetidine

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12
Q

List the causes and RF for male infertility

A
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13
Q

What may be seen on PE for male infertility

A
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14
Q

Describe the testing for male infertility

A
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15
Q

Describe the treatment for male infertility

A
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16
Q

List some meds that can cause male infertility

A
  • TCAs
  • SSRIs
  • antipsychotics
  • finasteride
  • nitrofurantoin
  • etc.
17
Q

Describe the physiology of an erection

A
18
Q

Describe the RF and causes of ED

A

inability to achieve/maintain an erection

19
Q

Describe some psychological & physical presentations in erectile dysfunction

A
20
Q

Describe the testing for erectile dysfunction

A
21
Q

Describe the treatment for erectile dysfunction

A
22
Q

Describe the use of PDE-5 inhibitors in erectile dysfunction & list the 3 most common meds

A