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GYN - CH 40
for test #3
54
Medical
Undergraduate 1
04/17/2011

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Cards

Term
infertility
Definition
inability to conceive within 12 months of regular coitis
Term
PCT
Definition
postcoital test
Term
role of cervix
Definition
provide a non-hostile environment for sperm
Term
postcoital test evaluation
Definition
sample of mucus removed from cervix within 24 hrs o intercourse to assess sperm motility and viability
Term
u/s role of cervix
Definition
determine cervical length during pregnancy and rule out incompetence
Term
two main objective of uterus evaluation
Definition
assess structural anatomy and endometrium
Term
u/s of endometriem to determine what?
Definition
thickness, echogenicity, masses, and intrcavitary lesions
Term
u/s of uterus structure to determine what?
Definition
shape and echogenicity
Term
u/s of fallopian tube to determine what?
Definition
hydrosalphinx and patency
Term
hydrosalphinx
Definition
fluid filled fallopian tube
Term
during ovarian follicular phase, several follicle measure less that what size?
Definition
5mm
Term
a follicle is selected to develop into a dominant follicle in response to what?
Definition
follicle stimulating hormone (FSH) and increased estradiol
Term
a dominant follicle will grow at what rate?
Definition
2-3 mm per day
Term
a dominant follicle will reach an average diameter of what?
Definition
22mm
Term
what happens to a dominant follicle when it reaches 22mm?
Definition
ruptures
Term
what rises after ovulation?
Definition
basal body temperature
Term
basal body temperature
Definition
best predictor of ovulation
Term
u/s findings associated with ovulation?
Definition
echoes within the fluid left behind or free fluid in peritoneal cavity
Term
fluid from fallopian tube can leak into what?
Definition
posterior cul-de-sac in peritoneal cavity
Term
what rises before ovulation and be found in patients urine?
Definition
luteinizing hormone (LH)
Term
what can inhibit the release of FSH and LH?
Definition
polycystic ovarian syndrome (PCOS)
Term
what is present with PCOS?
Definition
oligoamenorrhea, hirsutism, obesity
Term
multiple small immature follicles less than 1cm on periphery of ovary
Definition
string of pearls
Term
adhesions
Definition
bands of scar tissur that can obstruct the fimbriated end of fallopian tube
Term
endometriosis
Definition
ectopic placement of endometrial tissur outside of uterus
Term
pelvic adhesion etiology
Definition
intrabdominal infection, tissue hypoxia or ischemia, tissue drying, intraperitoneal blood, dissection of prior adhesions
Term
ovarian induction therapy
Definition
ovarian stimulation in a controlled setting
Term
clomiphene citrate
Definition
clomid
Term
gonadotropin
Definition
pergonal
Term
hormone substance that stimulates the fuction of testes and ovaries
Definition
gonadotropin
Term
when is clomid or pergonal administered in ovarian induction therepy?
Definition
days 3-5 in normal mentrual cycle
Term
endometral monitoring
Definition
evaluation during ovarian stimulation by assessing thickness and echogenicity
Term
in vitro fertilization
Definition
method of fertilization the human ova outside of body
Term
embryo transfer
Definition
retrieved oocytes fertilzied in a dish, incubated 48-72 hrs and transplanted into uterus
Term
gamate intrafallopian tube transfer
Definition
oocytes are mixed with sperm in a dish and transferred by catheter to fallopian tube for fertilization
Term
zygote intrafallopian tube transfer
Definition
oocytes are mixed with sperm in a dish and transferred by catheter to fallopian after fertilization
Term
intrauterine insemination
Definition
catheter containing sperm is placed into uterine fundus, male infertility
Term
what my need t be administered to produce ovulation for ovarian induction therapy?
Definition
human chorionic gonadotropin (hCG)
Term
lack of progesterone production
Definition
luteal phase deficiency
Term
uterine arteries flow in normal patient
Definition
pulsatility index of 2.o-2.99
Term
endometrium thickness in patient receiving ovarian stimulation
Definition
increase from 2-3mm up to 12-14mm
Term
diameter of uterus associated with infertility
Definition
<8mm
Term
OHS
Definition
ovarian hyperstimulation syndrome
Term
ovarian hyperstimulation syndrome
Definition
enlarged ovaries with multiple cyst, abdominal ascites, plerual effusion
Term
complication of assisted reproductive technology (ART)
Definition
ovarian hyperstimulation syndrome (OHS)
Term
[image]
Definition
OHS
Term
[image]
Definition
polycystic ovary with string of pearls
Term
[image]
Definition
dominant follicle
Term
[image]
Definition
ovarian follicle stage
Term
[image]
Definition
menes
Term
[image]
Definition
proliferative phase
Term
[image]
Definition
thickened endometrium
Term
[image]
Definition
secretory phase
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