Subfertility Flashcards
Differentials and questions
1
Q
Women’s system reveiw
A
Gynaecological symptoms: pain, discharge, PV bleeding
PCOS symptoms: hirsutism, acne, obesity
Prolactinoma symptoms: galactorrhoea
PMH
2
Q
Gynaecological causes
A
PCOS Fallopian tube damage Endometriosis Cervical barrier e.g. stenosis, hostile mucus, polyp Hyperprolactinaemia Hypothalamic disturbance
3
Q
Other female causes
A
Congenital uterine/vaginal malformation
Premature ovarian failure
Pituirary disease
4
Q
Other mail causes
A
Varicocele
Anti-sperm antibodies
Absence/blockage of vas deferns
5
Q
Coital difficulty
A
Mechanical
Erectile dysfunction
Timing
