Subfertility Flashcards
What is the definition of subfertility?
A couple who are living together and having regular unprotected sex who can not conceive over the space of one year
What is the role of zinc and selenium in subfertility?
They can increase the quality and morphology of sperm but you need to wait three months before a new batch is formed
What is asospermia?
No sperm
What is oligospermia?
Low sperm
What is asthenospermia?
Low motility sperm
What are some male causes of subfertility in reference to central causes, sperm dysfunction or obstruction?
Central
- Hypothalamic tumour
Sperm dysfunction
- Chemo
- Klinefelters 47XXY
- Steroids
Obstruction
- Vasectomy
- Tumour
- Absent Vas deferens
What are some treatment options for male infertility?
- Donor
- IVF
- Inter uterine insemination of athenospermia
What are some female causes of infertility?
- Hypothalamic/pituatry Tumour
**Genetics **
- Turners
- Androgen resistance (actually male)
Other
- PCOS
- Primary ovarian failure
- Tube disease (Chlamydia)
- Endometriosis and inflammation
What is Tamoxifen?
It stimulates ovaries to make follicles
What is clomifene?
Inhibits hypothalamic negative feedback so follicles are stimulated
What is the risk of stimulating the ovaries?
Multiple pregnancies
