Sept5 A3-Infertility and ART

Question 1

4 main causes of infertility

Answer 1

1. male factor
2. tubal factor
3. anovulation (MOST COMMONLY PCOS)
4. unexplained (dx of exclusion)
5. other

Question 2

assisted reproduction treatment is what

Answer 2

• IUI (intrauterine insemination) (if woman can ovulate)
• IVF (in-vitro fertilization) with or without intracytoplasmic sperm injection (ICSI)
• in-vitro maturation of eggs (IVM)
• testicula sperm aspiration (TESA) or percutaneous epididymal sperm aspiration (PESA)
• gamete donation (sperm, oocyte, embryo)

Question 3

most reliable test to see if a woman can ovulate

Answer 3

progesterone test at day of expected ovulation

-if positive = proof of ovulation

Question 4

% of infertile couples with more than a single cause of infertility

Answer 4

20%

Question 5

4 important tests that almost all couples need to determine the cause of infertility

Answer 5

• pelvic US
• seminal analysis
• mid luteal serum progesterone (day 21)
• HSG (hysterosalpingogram)