Subfertility History Flashcards
1
Q
What are problems with coitus that can influence fertility?
A
- Mechanical
- ED
- Periods of separation
- Timing of intercourse
- Ejaculation problems
2
Q
What problems with spermatogenesis can lead to infertlity?
A
- Hypogonadotrophic hypogonadism - pituitary, Kallman’s, anabolic steroids
- Hypergonadotrophic hypogonadism - klinefelters, gonadal damage
- Varicocele
- Anti-sperm antibodies
3
Q
What problems with men can lead to infertility?
A
- Abnormal spermatogenesis
- Passage problems
4
Q
What passage problems can lead to infertility in men?
A
- Abscence/blockage of vas deferens
- Anatomical defects
5
Q
What female problems can lead to inertility?
A
- Ovulatory failure
- Passage problems
6
Q
What are causes of ovulatory failure which can lead to infertility?
A
- Hypogonadotrophic hypogonadism - pituitary disease, kallman’s, syndromic, anabolic steroids
- Hypergonadotrophic hypogonadism - premature ovarian failure
- Hyperprolactinaemia
- PCOS
7
Q
What problems with passages in females can lead to infertility?
A
- Tubal damage
- PID
- Endometriosis
- Congenital malformations
- Polyps/fibroids
8
Q
What questions would you ask someone as part of an infertility history?
A
- General questions
- Coitus
- Partner history
- Woman’s gynaecological health
9
Q
What would you ask someone about coitus in someone who you are taking an infertility history?
A
- Coitus frequency
- Difficulties
- Relation to fertiles days
- Pain
10
Q
What things would you ask the partners in an infertility history?
A
- Age
- Occupation
- BMI
- Previous children
- Smoking and alcohol use
- Current medications
- PMH
11
Q
What would you ask about in terms of womens gynaecological history as part of infertility?
A
- Gynae systems review - discharge, pain, abdominal PV bleeding
- PCOS symptoms - hirsuitism, greasy skin, obesity
- Prolactinoma - galactorrhoea
- Gynae extras - MOSC
12
Q
A
