treatment of infertility and inheritance Flashcards
Infertility
unable to achieve pregnancy despite frequent unprotected sex over the period of at least a year
Male infertility
Semen flows into bladder, rather than urethra.
immune system may develop antibodies for their own sperm.
Blockages in male’s reproductive tract.
hormonal imbalances, affecting sex drive and production of sperm.
Polycystic ovarian syndrome (PCOS)
Hormonal condition where ovaries contain many partially formed follicles that fail to mature.
Eggs not released, nor fertilised
hyperprolactinemia
High levels of hormone prolactin
can occur with; pituitary tumours, hypothyroidism, PCOS
Causes lack of ovulation
early menopause (primary ovarian insufficiency)
Menopause before 40 years old
cancer treatment can also cause it.
Other factors affecting women infertility
endometriosis
Fibroids
endometriosis
Affects 10% of women
endometrium grows outside uterus, resulting scar tissue or distortion of uterine tubes can affect fertility by blocking egg’s release or pathway through to the uterus.
Fibroids
benign growths in muscular part of uterus
Only affect fertility if location distorts the uterine cavity or blocks the uterine tubes
infertility treatments allowing unassisted fertilisation
Surgery
ovulation tracking
Ovulation induction
artificial insemination
surgery
Blocked uterine tubes and sperm ducts can be opened
fibroids or endometriosis can be removed
Ovulation tracking
identification of when female is most fertile through series of blood tests
Surge in LH prior to ovulation (luteinising hormone)
ovulation induction
For: infertility due to problems with ovulation resulting from low level of hormones
medication given to lower protein, allowing ovulation
Artificial insemination
process where sperm is released into uterus by a catheter being inserted through cervix
For: low sperm count, gays, single females, ejaculation dysfunctions
assisted fertilisation
Uses reproductive technologies
Gamete IntraFalopian Transfer (GIFT)
In Vitro Fertilisation (IVF)
Gamete Intrafallopian Technologies (GIFT)
Sperm and Egg mixture injected into Fallopian tube
In Vitro Fertilisation (IVF)
When: blocked uterine tubes, ovulation disorders, endometriosis, fibroids, low sperm quality or production
IntraCytoplasmic Sperm Injection (ICSI)
Eggs collected and injected with sperm
any normal developing eggs are injected into uterus
Surgical sperm removal
unable to ejaculate
Needle retrieves sperm