Management of Infertility Flashcards
weight loss between _ and __% dramatically improves pregnancy and outcome rates
weight loss between 5 and 10% dramatically improves pregnancy and outcome rates
_kg of weight gain is sufficient to lower fertility rates
9kg of weight gain is sufficient to lower fertility rates
name the 2 common vitamin supplements advised in increasing the chance of fertility
folic acid and vitamin D (10μg)
folic acid - 400μg daily before pregnancy and in first 12 weeks
5mg for woman planning a pregnancy and have history of defects or diabetes
what should females be vaccinated against before becoming pregnant?
rubella
pregnant woman or those hoping to become pregnant with chlamydia should receive what as treatment?
azithromycin
what are the WHO definitions of ovulatory disorders?
group I
group II
group III
other - hyperprolactinaemia
group I is due to what? what are the findings?
HYPOTHALAMIC
hypogonadotrophic hypogonadism
stress
excessive exercise
anorexia
kallmans syndrome
findings:
low FSH
low oestrogen
normal prolactin
what is kallmans syndrome?
type of hypogonadotrophic hypogonadism and a loss of sense of smell
is progesterone challenge positive or negative in group I?
negative
group II is due to what?
HYPOTHALAMIC PITUITARY DYSFUNCTION
PCOS
findings in group III
OVARIAN FAILURE
high gonadotrophins
low oestrogens
treatment for pelvic adhesions, endometriosis, chocolate cysts and tubal block?
surgery as primary treatment for infertility
surgery to enhance IVF treatment is either performed _______________ or ______________, NEVER ________
surgery to enhance IVF treatment is either performed LAPROSCOPICALLY or HYSTEROSCOPY, NEVER LAPAROTOMY
name the common tubal disease
hydrosaphinx
define hydrosaphinx
condition that occurs when the fallopian tube is blocked and fills with serous or clear fluid near the ovary (distal to the uterus). The blocked tube may become substantially distended giving the tube a characteristic sausage-like shape
