Subfertility

Question 1

What are the causes of infertility and percentages attributable to each?

Answer 1

Tubal and pelvic pathology - 35%
Male factor infertility - 35%
Ovarian dysfunction - 15%
Unexplained infertility - 10%
Unusual problems - 5%

Question 2

What are the chances of conception over a 2 year period of time?

Answer 2

3 months - 57%
6 months - 72%
12 months - 85%
24 months - 93%

Question 3

What is the likelihood of tubal disease with 1st, 2nd and 3rd episodes of PID?

Answer 3

1st episode - 10-12%
2nd episode - 23-35%
3rd episode - 54-75%

Question 4

What are the normal semen analysis parameters?

Answer 4

Semen volume > 1.4ml
Sperm concentration 15 million
Total sperm number > 39 million
Total motility > 40%
Normal forms > 4%

Question 5

What is low sperm motility known as?

Answer 5

Asthenospermia

Question 6

What treatment is better than expectant management for unexplained infertility?

Answer 6

Letrozole/Colimfene and IUI - this treatment helps with both male and female factors.