Restorative Reproductive Medicine Flashcards
Restorative Reproductive Medicine
Reproductive medicine designed to cooperate with reproductive system.
Benefits of RRM
Heals defects, promotes healthy functioning of the body, works with the body, not against it.
Naprotechnology
natural procreative technology. Most famous restorative reproductive medicine system
Charting
Moniter of cycles. Allows identification of reproductive pathologies, aids medical evaluation and treatment, conjugal union can be timed to overcome infertility.
Nutrition
some nutrients can hinder fertility at low levels. Improved diet can aid fertility
Medications
Normal hormonal response may be restored. May be used to promote sperm production or ovulation.
Surgery
Removal of abnormal tissue, Restoration of blocked reproductive ducts.
Success rates of Naprotechnology
Live births/women is greater than IVF, even if used after IVF.
Advantages of Naprotechnology
Diagnoses cause of infertility, lower risk of multiples comparted to ART, no risk of OHSS, cheaper than ART
Disadvantages of Naprotechnology
Longer wait for pregnancy
Miscarriage/spontaneous abortion
loss of pregnancy by 20th week
stillbirth
loss of pregnancy after 20th week
Miscarriage frequency
Estimates vary widely. 10% to 70%. Most common in first 3 weeks.
risk factors of miscarriage
chromosomal abnormalities, advanced maternal age, previous miscarriage, infertility, endometriosis, short secretory phase, low progesterone, immature follicles
Abnormal follicle development
causes low estrogen/progesterone, decreased sensitivity to progesterone.
ART for miscarriage
does not identify underlying problem, low success rate
Napro and miscarriage
can predict risk of miscarriage, treatment can begin before it happens.
miscarriage risk markers
short/highly variable post-ovulation phase, spotting before menstruation, low fertile mucus production
premature birth
birth more than 3 weeks before the due date. Occurs before the 35th developmental week.
Possible underlying problems of premature birth
Increased uterine contrations, infection, cervical incompetence (cervic effaces and dialates too early)
efface
to thin
dialate
to become wider
Premature birth tretments
Progesterone to prevent contractions, antibiotics to treat infections, cervical cerclage to strengthen the cervix
Cervical cerclage
a ring or loop used to hold the cervix closed.
Things Napro can treat
Menstrual cramps and pelvic pain, absence of menstrual periods, endometriosis, polycystic ovaries, male infertility