Pregnancy Planning: Ovulation/ Pregnancy Testing + FSD Flashcards

1
Q

the ovum is viable for

A

12-24hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

sperm can live up to

A

5 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the 4 optimal times for fertilization

A

2 days before ovulation
day of ovulation
day after ovulation
(ideally 24hrs after LH surge)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how do saliva tests work for ovulation testing

A

as E increases, NaCl in mucus secretions increase = causes ferning of mucus when dried = large ferns = ovulating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

saliva tests should provide _______ of advanced notification of ovulation

A

24-72hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how long must you sleep before getting a basal body temp

A

4hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the basal body temp

A

temp that occurs prior to rising in the morning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how do basal thermometers work for ovulation testing

A

Body temp rises as ovulation occurs- coincides with progesterone release
0.5F or 0.28C over 3 days (3 days of elevated temp = ovulation occurred)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what kind of mucus is usually seen in ovulation

A

thin/ clear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are some issues with basal temp monitoring for ovulation

A

Ovulation may have occurred before actual detection
Interference: emotions, infections, movements, eating, drinking, talking, smoking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

basal body temp measuring is best used in conjunction with

A

ovulation prediction tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how often should you have sex once you have a + ovulation result
1. daily
2. BID
3. q2d
4. q3d

A

3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how do urine ovulation tests work

A

Use monoclonal antibodies specific to LH
LH gets sandwiched between 2 antibodies = color change
Color intensity dep amount of LH present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

do 2 lines on an ovulation prediction tests always mean that you’re ovulating

A

no- may have low amount of LH it picks up
which is why it’s important to test 2-4 days before expected ovulation, then continue for 5-7 consecutive days to track the colour intensity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how should urine based ovulation tests be used

A

Begin testing 2-4 days before expected ovulation, then test for 5-7 consecutive days to determine color change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

fertility monitors detects ______ and the rise of ________

A

LH and estrone-3-glucuronide (E3G)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

fertility monitors can identify up to ____ fertile days and store ___ cycles of information

A

6 days
6 cycles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

which of the following does not require regular cycles to easily use
1. saliva tests
2. ovulation urine tests
3. basal thermometers
4. fertility monitors

A

4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what are home sperm tests

A

self diagnostic tool, help decide if further clinical eval needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is a + result for home sperm tests

A

> 15-20million sperm/ mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

how do home sperm tests work?

A

Uses monoclonal antibodies that recognizes sperm specific acrosomal protein SP-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

when is the best time to use a home sperm test

A

at least 48hrs but no more than 7 days since last ejaculation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

home sperm tests use antibodies that recognizes sperm acrosomal protein _____

A

SP-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

HCG in urine can be detected up to ____ after conception

A

6-8 d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
after birth, HCG levels drop to undetectable after ____
8wks
26
HCG doubles ____ until peak at _____after conception, then ↓ to lower level throughout pregnancy
q2d 60-70d
27
at what time of day is HCG conc the highest
9am-12pm
28
what is the most common reason for inaccurate pregnancy test results
human error
29
urine HCG tests are sensitive to ____mIU/mL, blood ____mIU/mL
urine = 20 blood = 1
30
what is a limitation of urine HCG tests
wide variations in HCG concentrations (12-2438mIU/mL) during 4th week of pregnancy
31
if a pregnancy test is negative, when should you retest?
in 7 days if menses has not occured
32
false + pregnancy tests may be due to
miscarriage or abortion in preceding 8wks, tumors which secrete HCG, fertility meds (ex- HCG injection)
33
false - preg tests may be due to
test performed too early or too late, expired testing kit, chilled or dilute urine, cloudy/ pink/ red urine
34
what is FDS
term used to collectively describe various conditions including low libido, sexual arousal, orgsmic dysfunction, and painful intercourse
35
FDS is 1. underreported 2. includes painful intercourse and lack of orgasms 3. incudes sexual aversion disorder 4. all of the above
4
36
what are the 4 types of FSD
desire arousal orgasmic pain
37
describe desire FSD
hypoactive sexual desire (low libido), sexual aversion disorder (disgust towards sex)
38
what is arousal FSD
subjective arousal disorders ,genital arousal disorders, combined subjective and genital
39
pain FSD includes
: dyspareunia (painful intercourse), vaginismus (vaginal spasms with penetration)
40
list the 3 NT that have a + effect on desire and the one that has negative effect
+: testosterone, dopamine, estrogen -: prolactin
41
list the 4 NTs that have + and 1 that is - effect on arousal
+: NE, dopamine, ACh, NO -: 5HT
42
which NT has a + effect on orgasm? what about -? 1. serotonin 2. NE 3. dopamine 4. NO
NE + serotonin -
43
what is the PLISSIT model
permission limited information specific suggestions intensive tx
44
what RF modification may be done for FSD
smoking cessation, limit alcohol intake, treat alcohol/ illicit drug abuse, manage comorbidities (HPTN, DM, etc), switch to drugs with less sexual SEs
45
what psychological tx may be done for FSD
CBT, sex tx, couples/ relationship tx, psychiatric counselling (ex- hx of sexual abuse), distraction techniques (fantasize, relaxation, etc)
46
which of the following is not a treatment for FSD 1. vaginal dilators 2. vaginal estrogen therapy 3. transdermal testosterone therapy 4. mirtazapine
4
47
testosterone therapy in women 1. is not approved by health canada for use in FSD 2. prefers PO testosterone 3. requires calculated dose out to 15mg/d 4. sees acne as the most common reason for d/c
1
48
oral T for FSD in women can lead to
AEs on lipids (reduced HDL) and liver toxicity
49
T dose for FSD is
5mg/d
50
T or F: monitoring for T in FSD is recommended for efficacy at baseline ,then at 4-6wks
F- not for efficacy, for toxicity monitoring levels may be insensitive and inaccurate
51
free androgen index (FAI) =
total T/SHBG x 100
52
what is the most common reason for T d/c in FSD 1. deepening of voice 2. acne 3. hair growth in application area 4. anger/ irritability
anger/ irritability
53
testosterone FSD SEs
acne, hair growth (in application area), anger/ irritability (most common reason to d/c), deepening of voice (not common with small doses used for females)
54
T or F: deepening of voice is uncommon in FSD with T use
T
55
most PDE-5i studies in women have been with _____ for females with _____ induced dysfunction it may also be useful for females with ________ to increase blood flow ot the area
with sildenafil for females with SSRI induced dysfunction spinal cord injury
56
what are the 5 pharm tx for FSD
testosterone PDE-5i buproprion DHEA filbanserin
57
buproprion is mainly used in __________ sexual dysfunction
SSRI induced
58
DHEA in FSD has soem efficacy data in __________
adrenal insufficiency
59
flibanserin is for
hypoactive sexual desire disorder in pre/ post menopausal women
60
flibanserin MOA
5HT1A agonist + serotonin 2A antagonist
61
flibanserin AEs
drowsiness, dizzy, fatigue, N, hyperthermia, limit EtOH (↑risk of syncope, hypotension, depression)
62
how long should filbaserin be trialed
8wks
63
filbaserin intx
mod/strong CYp3A4 inhibitors
64
what are the 3 CAM products for FSD
L arginine gingko bilbo yohimbine
65
L arginine is often topical for FSD and mixed with
menthol