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8 Cards in this Set

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3 things to remember in regard to why a couple cant get pregnant?

1. Women is not ovulating (Ask about periods, regular? How long have you been trying) measure progesterone level)


2. Fallopian tubes are blocked (do a hysterosalpingogram)- no symptoms of a blocked tube.


3. Man has lower quality of sperm

Most common cause of blockage of fallopian tube?

Chlamydia


Others include ectopic pregnancy.

Screening and testing male sperm. How long before should you not have masturbated for?

No ejaculation for 3 days prior to the test.

Difference between primary and secondary sub fertility?

Primary- never been fertile and never will


Secondary- used to be fertile but not anymore.

Management to aid fertility?

-Women- take folic acid- prior to and upto 12 weeks post conception


-Stop smoking


-Cut down on alcohol


-Regular sex- 2/3 times a week


-lose weight- BMI over 29- a/w reduced fertility


-Check rubella immunity- avoid pregnancy 1 month post vaccination

Measuring ovulation?

Blood test to measure progesterone on day 21 of cycle. Called mid luteal progesterone.

How to check fallopian tubes?

Do a hysterosalpingogram

Tests on a couple who cant get pregnant?

Chlamydia test


Semen analysis


Hysterosalpingogram


Progesterone levels


Rubella screen


Ultrasound