Obs fertility

Question 1

The WHO divides women with fertility issues into 3 groups. What are these?

Answer 1

1. Women with low FSH/LH/E2
2. Women with lots of eggs
3. Women with no eggs

Question 2

What are the causes and treatment of WHO group 1 women?

Answer 2

Causes - stress, wt loss, exercise, Kallmann syndrome
Tx - FSH/LH injections, GnRH pump, normalise weight

Question 3

What is the cause and treatment of WHO group 2 women?

Answer 3

Cause - PCOS
Tx - Ovulation induction

Question 4

What is the cause and treatment of WHO group 3 women?

Answer 4

Cause - menopause
Tx - donor egg

Question 5

What 3 measurements give an indication of response to IVF? Include the results that indicate low response

Answer 5

• FSH - >8.9
• Antral follicle count - <4
• Antimullerian hormone - <5.4

Question 6

What do you need to check when assessing semen quality? If abnormal when should it be repeated ?

Answer 6

• Count
• Motility
• Morphology
• Total
• After 3 months (spermatogenesis takes 3 months)