Unit 1/Test 1/Infertility Flashcards
1
Q
Infertility: Maintaining balance in Reproductive organs
A
*Inability to conceive after one year of unprotected intercourse
2
Q
Types of Infertility:
A
- Primary
* Secondary
3
Q
Primary-
A
never been able to conceive
4
Q
Secondary-
A
able to get pregnant in the past
5
Q
Causes of Infertility:
A
- Males 35%
- number and quality of sperm
- structural and/or hormonal problems
- STI’s
- Females-50%
- hormonal
- tubular disease
- structural-uterine and ovarian
- genetic
- Combined or unexplained- 15%
6
Q
Infertility Diagnostic: Phase I
A
- physical both partners
- check various hormone levels in both partners
- ultrasound of reproductive structures in both parties
- sperm analysis
- cervical mucus and ovulation analysis
- post coital exam
- basal body temp
7
Q
Infertility Diagnostic: Phase II
A
- Endometrial biopsy
* hysterosalpigogram
8
Q
Infertility Diagnostic: Phase III-Women
A
- Laparoscopy to repair scarred FT or diagnostic
- D&C
- Immunology compatibility evaluation
9
Q
Surgical Intervention:
A
- Prolactin- breast milk production initially suppresses
- Ovulation
- Evaluation of cervical mucus in vitro
10
Q
Infertility Diagnostic:
Phase III-men
A
- Testicular biopsy
- Vasography
- Sperm penetration ability
- Mucus migration test
- Venography
- Immulogical studies
11
Q
Vasography
A
- testes and penis
- sperm permeability ability-in vitro
- venography- blood supply to organs
- transrectal ultrasound- prostrate gland and testicles
- immunlogical studies- building up antibodies against female
12
Q
Infertility: client support
A
- psychological
- financial
- medical (use of drug therapy)
- surgical
13
Q
Infertility treatment:
A
- IVF- in-vitro fertilization
- -give woman hormones to cause her to hyperovulate- pergonal
- *Next step-retrieve ova
- mix with male sperm in petri dish
- grow for 48 hours
- select 3-4 to put back into uterus
- give progesterone and HCG hormones to promote ova attachment
14
Q
Assisted reproductive technology:
A
- IVF- usually a tubular problem
- Pergonal- IM stimulate ovaries to produce several ovum (eggs)
- Clomid- encourages ovaries to produce more than one egg Not IVF
15
Q
Infertility-Treatment-GIFT
A
- Gamete Intra Fallopian Transfer-
- immediately injects eggs and sperm back into fallopian tube. Does not wait for fertilization to occur 1st. Also use of drugs to encourage implantation.
