subfertilitt Flashcards
1
Q
What are the main broad causes of sub fertility?
A
anovulation 30% male factors 25% tubal factors 25% coital factors 5% cervical factors <5% unexplained 30%
2
Q
What are normal sperm investigations? What is done following abnormal investigations?
A
Sperm Number >15million/ml
Progressive motility >32%
Volume >1.5ml
If abnormal, repeat after 12/52, examine scrotum + discuss lifestyle factors. ADD TO
3
Q
What investigations should be carried out for concerns about anovulation?
A
Serum progesterone mid cycle you would expect this to be elevated due to prod by Corpus Luteum which would exist only if ovulation has occurred. Low progesterone= lack of ovulation if 7d prior menstruation e.g. day 21 of 28 day cycle.
