Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
15 Cards in this Set
- Front
- Back
|
what period of time of inability to conceive after reg intercourse to dx infertility?
|
1 yr
|
|
|
M or F
has more fertility problems |
Female dysfunc (60-70%)
male dysfunc (30-40%) |
|
|
what is #1 cz of female infertility?
second most common? |
endometriosis
2nd common: PID |
|
|
what are some cz of female infertility?
|
peritoneal factors 40%
uterine-tubal factors 30% ovulatory problems 15-20% cervical factors 5% |
|
|
T of F
mult factors of infertility in 20%, cz of infertility unknown 5-20% |
T
|
|
|
DDx of infertility
|
ovulatory dysfunc (ovarian failure, prolactinoma)
genital tract abn/damage (endometriosis, pid, myoma) defect spermatogenesis varicoceles (interfere w/ sperm dev) endocrine dysfunc (pcos, thyroid/adrenal dz) |
|
|
Eval to r/o male factor of infertility
|
sperm analysis
|
|
|
eval to r/o female factor of infertility (2)
|
hysterosalpingography (r/o uterine-tubal abn)
serum FSH/LH/TSH/prolactin (r/o endocrine dysfunc) |
|
|
T or F
tx of infertility is tx of underlying cz |
T
|
|
|
tx of endometriosis
|
may be improved by laparoscopic removal of endometriosis implants
|
|
|
ovulation may be induced by (2), may cz hyperstim and mult gestation
|
clomiphene citrate
pergonal (purified human fsh/lh) |
|
|
what adv repro tech may be used in refractory cases?
|
GIFT, IVF
|
|
|
most common cz of secondary dysmenorrhea (painful menstruation)
|
endometriosis
|
|
|
dx of endometriosis
|
dyschezia (painful defecate)
chronic pelvic pain dyspareunia infertility nodularity along uterosacral ligament fixed, retroverted uterus |
|
|
definitive dx via LAPAROSCOPY/laparotomy, shows implants as:`
|
"powder burns": rust to brown
"raspberry lesions": raised blue "chocolate cysts": in ovaries, cystic collect of old bl |
