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OBGYN: Fertility
OBGYN: Fertility
18
Accounting
Graduate
08/19/2012

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Cards

Term
Men should have __ __sperm/cc.
Definition
60 million sperm/cc
Term
Etiology of female infertility:
Definition
- 40% ovulatory dysfunction
- 40% tubal/pelvic dysfunction
- 10% unusual problems
- 10% unexplained infertility
Term
sperm analysis looks at:
Definition
- concentration of sperm
- morphology
- motility
Term
Post-coital test:
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 .
Term
Hysterosalpingogram:
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
Term
With the post-coital test, you want the mucus to be ___ stretchy, an effect of __.
Definition
- less stretchy
- progesterone
Term
Best test to determine if someone is ovulating or not?
Definition
Day 21 Progesterone Challenge (have them log their cycle on a calendar and count back 7 days, on that day test progesterone)
Term
How does Clomid work?
Definition
- binds to receptors in the hypothalamus and makes CNS think their is deficient estrogen> increases GnRH> increases FSH> promotes follicular growth
Term
How do you assess the periotoneal factor of infertility?
Definition
Laparoscopy- last test performed in evaluation of infertility. May be done earlier if high suspicioun of endometriosis or PID.
Term
Advanced endometriosis can cause __ __.
Definition
frozen pelvis
Term
Unexplained infertility (all standard evals are within normal limits and all treatment options are failed). What now?
Definition
- In vitro fertilization
- Adoption
Term
good candidates for IVF:
Definition
- unexplained infertility
- blocked tubes
Term
With IVF, the luteal phase should be supplemented with progesterone?
Definition
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.
Definition
- failed clomid
- low FSH/LH
- ultrasound monitoring
- estradiol
- 20 mm or 2 cm
- 300
Term
Criteria for follicle maturity include a follicular diameter of __ mm and a serum estradiol of ___ pg/ml per dominant follicle.
Definition
- 18 mm
- 200 pg/ml
Term
For IVF have to give GnRH agonist to suppress LH to prevent ovulation.
Definition
Term
For IVF after put sperm and egg in petri dish, wait 5 days for blastocyst to form> back to uterus.
Definition
Term
Not good candidate for IVF?
Definition
low sperm count
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