Term
| Men should have __ __sperm/cc. |
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Definition
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Term
| Etiology of female infertility: |
|
Definition
- 40% ovulatory dysfunction
- 40% tubal/pelvic dysfunction
- 10% unusual problems
- 10% unexplained infertility |
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Term
|
Definition
- concentration of sperm
- morphology
- motility |
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Term
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Definition
- looks at stretchability of postcoital mucus and assess it for sperm (no mucus is bad)
- The patient is asked to have relations 2-4 hoours prior to her pelvic exam. A small sample of cervical mucus is evaluated for consistency (spinnbarkeit) and we count the number of motile sperm per high power field . Greater than 10 usually corresponds to a good sperm count . |
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Term
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Definition
- looks at uterus and tubes
- put fluid in uterus and make sure it spills out through tubes to assess patency
- have them take abx for 3 days prior and tell them to take something for pain |
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Term
| With the post-coital test, you want the mucus to be ___ stretchy, an effect of __. |
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Definition
- less stretchy
- progesterone |
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Term
| Best test to determine if someone is ovulating or not? |
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Definition
| Day 21 Progesterone Challenge (have them log their cycle on a calendar and count back 7 days, on that day test progesterone) |
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Term
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Definition
| - binds to receptors in the hypothalamus and makes CNS think their is deficient estrogen> increases GnRH> increases FSH> promotes follicular growth |
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Term
| How do you assess the periotoneal factor of infertility? |
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Definition
| Laparoscopy- last test performed in evaluation of infertility. May be done earlier if high suspicioun of endometriosis or PID. |
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Term
| Advanced endometriosis can cause __ __. |
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Definition
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Term
| Unexplained infertility (all standard evals are within normal limits and all treatment options are failed). What now? |
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Definition
- In vitro fertilization
- Adoption |
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Term
|
Definition
- unexplained infertility
- blocked tubes |
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Term
| With IVF, the luteal phase should be supplemented with progesterone? |
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Definition
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Term
| HMG (human menopausal gonadotropin) is a fertility tmt option for pts who have failed __ treatment and have __ ___. This is the drug used for IVF to promote multiple follicle stimulation. risk of ovaries becoming swollen and painful. Requires__ monitoring and ___ measurements. When follicles are __ mm or __cm, they take 2 eggs, estradiol should be __pg/ml. |
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Definition
- failed clomid
- low FSH/LH
- ultrasound monitoring
- estradiol
- 20 mm or 2 cm
- 300 |
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Term
| Criteria for follicle maturity include a follicular diameter of __ mm and a serum estradiol of ___ pg/ml per dominant follicle. |
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Definition
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Term
| For IVF have to give GnRH agonist to suppress LH to prevent ovulation. |
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Definition
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Term
| For IVF after put sperm and egg in petri dish, wait 5 days for blastocyst to form> back to uterus. |
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Definition
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Term
| Not good candidate for IVF? |
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Definition
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