UNIT 2 - KA3 Flashcards

1
Q

Why do men show continuous fertility

A
  • in males there is a relatively constant level of FSH and LH secreted in the bloodstream. Therefore a steady quantity of testosterone is secreted and steady quantity of sperm produced. As a result, males are continuously fertile
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2
Q

What do men continuously produce which shows continuous fertility

A

Men continuously produced sperm in their testes so show continuous fertility

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3
Q

Why do women show cyclical fertility

A
  • in females the interplay of pituitary and ovarian hormones results in the period of fertility being 1 - 2 days after ovulation. For this reason females fertility is described as being cyclical
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4
Q

What are the two indicators of a women’s fertile period

A
  • temperature
  • cervical mucus
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5
Q

When does the woman’s body temperature rise

A

Approximately one day after the luteal surge that triggers ovulation the woman’s body temperature rises by around 0.5 degrees Celsius and remains at this level throughout the luteal phase of the cycle

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6
Q

How long does the period of fertility last

A

The period of fertility lasts for the first 1-2 days

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7
Q

When does the infertile phase resume

A

The infertile phase is resumed on average, on the third daily recording of the higher temperature by this time the egg not fertilised would have disintegrated

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8
Q

What consistency is the cervical mucus

A

The cervical mucus secreted into the vagina during the fertile period is thin and watery

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9
Q

What does thin and watery mucus allow

A

This allows easy access of sperm into the female reproductive system

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10
Q

What happens to the mucus after ovulation

A

After ovulation progesterone causes the mucus to gradually increase in viscosity

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11
Q

Identification of the fertile period

A

A woman’s body temperature rises by around 0.5 degrees Celsius after ovulation and her cervical mucus becomes thin and watery

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12
Q

What are infertility treatments and contraception based on

A

Infertility treatments and contraception are based on the biology of fertility

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13
Q

What can the pituitary gland fail to secrete

A

Sometimes there is a failure of the pituitary gland to secrete adequate FSH or LH

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14
Q

Ovulation can be stimulated by :

A
  • drugs that mimic the normal action of FSH and LH
  • drugs that prevent the negative feedback effect of oestrogen on FSH secretion
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15
Q

What can the drugs that mimic the normal action of FSH and LH do

A

These drugs can be so effective that they can bring about ‘super ovulation’ which can lead to multiple births

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16
Q

What are the two things super ovulation can do

A

Super ovulation can lead to multiple births. Super ovulation can be used to collect ova for IVF

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17
Q

What type of means does AI introduce semen

A

A.I is when semen is introduced by means other than sexual intercourse

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18
Q

What procedure is used during artificial insemination

A

Several samples of semen are collected over a period of time

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19
Q

When is artificial insemination particularly useful

A

Artificial insemination is particularly useful where the the male has a low sperm count

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20
Q

If a partner is sterile how can artificial insemination work

A

If a Partner is sterile a donor may be used to provide semen

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21
Q

Summarise artificial insemination

A

Several samples of semen are collected over a period of time. Artificial insemination is particularly useful when a male has a low sperm count. If a partner is sterile a donor may be used to provide semen

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22
Q

What is ICSI

A

Inta-cytoplasmic sperm injection

23
Q

Under what conditions can ICSI be used

A

If mature sperm are defective or very low in number ICSI can be used

24
Q

What procedure takes place during ICSI

A

The head of the sperm is drawn into a needle and injected directly into the egg to achieve fertilisation

25
Summarise intra-cytoplasmic sperm injection
Is mature sperm are defective or very low in number ICSI can be used. The head of the sperm is drawn into a needle and injected directly into the egg to achieve fertilisation
26
What is IVF
In vitro fertilisation
27
Under what conditions is IVF appropriate
- low sperm count - blocked oviducts - conception not possible
28
What happens during IVF
Surgical removal of eggs from ovaries after hormone stimulation
29
What is the procedure to carry out IVF
Incubation of zygotes and uterine implantation. Eggs are mixed with sperm in a culture dish. The fertilised eggs are incubated until they have formed at least eight cells and are then transferred to the uterus for implantation
30
What is PGD
Pre- implantation genetic diagnosis
31
What is the use of IVF in conjunction with PGD
To identify single gene disorders and chromosomal abnormalities
32
What does contraception involve
Contraception involves taking precautions to avoid becoming pregnant and can be by natural or artificial means
33
What is a natural method of preventing pregnancy
Rhythm method
34
What is the rhythm method
A woman can calculate her fertile period during each cycle (by measuring her body temperature and mucus viscosity) and avoiding sexual intercourse at this time. This is referred to as the rhythm method
35
Why is the rhythm method unreliable
Unfortunately it is an unreliable method as menstrual cycles can vary in length from month to month
36
What are the physical methods of contraception
- barrier method - intra uterine device - sterilisation procedures
37
What is the barrier method
The barrier method physically blocks the ability of the sperm to reach the ovum.
38
What are the barrier method devices
- condom - diaphragm - cervical cap
39
Condom
Fits over penis
40
Diaphragm
Dome shaped rubber cap inserted into the vagina blocking the cervix
41
Cervical cap
Rubber structure which fits tightly around the cervix and can be left in place for a few days
42
What is an intra uterine device (IUD)
An IUD is a plastic T-shaped structure with copper wound around its outside
43
Where is the intra-uterine device placed
It is fitted into the uterus for moths (or even years)
44
Why does the IUD have threads
It has threads attached for easy removal
45
What is the purpose of the intra uterine device
It prevents the implantation of an embryo
46
What should the IUD really be termed as
It should really be termed a contragestic device as it prevents gestation
47
What are the two sterilisation procedures
- vasectomy - tubal ligation
48
Vasectomy :
- this Involves cutting and tying the two sperm ducts. This prevents sperm being released. - the sperm produced undergo phagocytosis and are destroyed
49
Tubal ligation
This involves cutting and tying the two oviducts which prevents eggs meeting sperm
50
What are the chemical methods of contraception
- pills containing a combination of hormones - morning after pill - mini - pill
51
Pills containing a combination of hormones
Oral contraceptive pills usually contain synthetic oestrogen combined with synthetic progesterone. This combination of synthetic hormones mimics the body’s negative feedback mechanism and prevents the release of FSH and LH by the pituitary gland
52
Morning after pill
Contain higher doses of hormones than the standard oral contraceptive pill. This type of pill prevents or delays ovulation or implantation of a blastocyst
53
When can the morning after pill be taken
These pills are often referred to as ‘morning after pills’ but they can be taken up to 72 hours or 120 hours after unprotected sex, depending on which type of pill is used
54
Mini pill
These are known as progesterone - only pulls. They do not contain synthetic oestrogen. Mini pills cause thickening of the cervical mucus, reducing the viability of the Sperm