Management of Infertility in Females Flashcards
what diet and lifestyle advice should be given for couples having fertility problems
stop smoking, achieve healthy BMI, reduce/stop alcohol intake, low caffeine, stop recreational drugs, stop methadone
what affects can weight of female have on fertility
higher weight increase miscarriage, increase infertility, decrease success treatment
what vitamin supplements can be given to aid fertility/during pregnancy
folic acid and vitamin D
what diseases should be screened for in a women having fertility issues
chlamydia, rubella immunity
what should be given to treat if chlamydia positive
azithromycin 1gm, is allergic to macrolide then doxycycline 100mg for 7 days
what can indicate oligo/anovulation
irregular menstrual cycles
what are the different options for treatment of hypothalamic anovulation
pulsatile GnRH(better), Gonadotrophin(LH, FSH) daily injections
what are the different treatment options for induction of ovulation in polycystic ovary syndrome(PCOS), in order of most often used to least(best to worst)
clomifene citrate(oral), gonadotrophin therapy(injections), laparoscopic ovarian diathermy
when is reproductive surgery considered
primary surgical treatment for infertility, or surgery to enhance IVF
in what scenarios would reproductive surgery be used for primary surgical treatment
pelvic adhesions, endometriosis, chocolate cysts in ovaries, tubal block
what different surgical procedures can be used to enhance IVF treatment
laparoscopy or hystetoscopy
what are the surgical treatment options that can be used for women with proximal tubal obstruction
selective salpingography + tubal catheterisation, or hysteroscopic tubal cannulation
(improve chance or pregnancy)
what surgical treatments should be offered to women with hydrosalpinges before IVF and why
laparoscopic salpingectomy, because it improves chance of live birth
what treatment can be used for tubal occlusion by hydrosalpinx
laparoscopy or hysteroscopy
what should women with minimal or mild endometriosis who have undergone laparoscopy be offered
surgical ablation or resection of endometriosis, plus laparoscopic adhesiolysis
