OnlineMedEd: Gynecology - "Infertility"

Question 1

How is infertility defined?

Answer 1

By couples trying to conceive for one year without success. If the mother is older than 35, the duration goes to six months.

Question 2

How should you approach erectile dysfunction evaluation?

Answer 2

Inquire about nighttime erections. If these are present, the ED is likely psychogenic. If not, it is organic.

Question 3

What two things are assessed on semen analysis?

Answer 3

Count and motility

Question 4

What is the difference between IUI and IVF?

Answer 4

• IUI: intrauterine insemination (injecting concentrated sperm into the uterus)
• IVF: fertilizing egg and sperm in a petri dish and injecting the fertilized egg into mom

Question 5

Explain ICSI.

Answer 5

Intracytoplasmic sperm injection

Harvesting an egg from mom and then injecting sperm directly into it

Question 6

The first step in the workup of female infertility is ______________.

Answer 6

testing the mucus; you place a little bit of cervical mucus on a slide and then dab another slide on the mucus; soft mucus stretches, hard mucus breaks

Question 7

Other than the smush test, what are two signs that cervical mucus is hostile?

Answer 7

• Absence of sperm after coitus

* No fern sign

Question 8

What thins the cervical mucus?

Answer 8

Estrogen

Question 9

There are two tests that can be done during the second half of a woman’s cycle to evaluate fertility: ______________.

Answer 9

• Endometrial biopsy (should show secretory epithelium)

* Progesterone elevation

Question 10

The next step in evaluation of female infertility (after mucus testing) is ____________.

Answer 10

hysterosalpingogram; this can show fibroids, tubal problems, etc.

Question 11

If the HSO doesn’t show anything, you can do __________.

Answer 11

an exploratory laparoscopy to evaluate for endometriosis

Question 12

_____________ becomes FSH and LH.

Answer 12

Pergonal