Infertility and IVF Overview

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Questions and Answers

What defines azoospermia in a male?

  • Sperm concentration below the minimum norm
  • High motility of sperm in ejaculate
  • Presence of sperm in normal amounts in the ejaculate
  • Total absence of sperm in the ejaculate (correct)

Which condition is considered an absolute indication for in vitro fertilization (IVF)?

  • Obstruction of one fallopian tube
  • Absence or obstruction of both fallopian tubes (correct)
  • Minor malformations of the uterus
  • Incompatibility between partners

In how much time is a marriage considered infertile if pregnancy has not occurred during unprotected sexual activity?

  • 2 years
  • 6 months
  • 1 year (correct)
  • 3 years

Which of the following are indications for artificial insemination?

<p>All of the above (A)</p> Signup and view all the answers

What is primary infertility characterized by?

<p>Regular unprotected sexual life without a previous pregnancy (C)</p> Signup and view all the answers

What is the proportion of male infertility as a cause of infertility in marriages?

<p>40-60% (B)</p> Signup and view all the answers

What drugs are primarily used to perform medical abortions?

<p>Antiprogestins (D)</p> Signup and view all the answers

What are the goals of family planning?

<p>Decrease maternal mortality rates (B)</p> Signup and view all the answers

What defines secondary infertility in women?

<p>Infertility after a year of regular unprotected intercourse following a previous pregnancy (C)</p> Signup and view all the answers

Which factor is NOT typically associated with female infertility?

<p>Age factors in the male partner (A)</p> Signup and view all the answers

Which medication is NOT used for ovulation stimulation?

<p>Aspirin (B)</p> Signup and view all the answers

Which procedure is primary in the examination of an infertile couple?

<p>Start with the man (D)</p> Signup and view all the answers

How long should the diagnosis of infertility ideally take?

<p>3 months (D)</p> Signup and view all the answers

In which case is IVF most likely indicated?

<p>Obstruction of the fallopian tubes (A)</p> Signup and view all the answers

Which method is NOT considered a form of assisted reproductive technology?

<p>Hormone therapy (A)</p> Signup and view all the answers

Which of the following is a characteristic of endocrine infertility?

<p>Irregular menstruation (D)</p> Signup and view all the answers

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Study Notes

Azoospermia

  • Absence of sperm in ejaculate
  • Different from low sperm concentration or motility

In Vitro Fertilization (IVF) Absolute Indications

  • Absence or obstruction of both fallopian tubes

Infertility Definition

  • Inability to achieve pregnancy with regular sexual intercourse without contraceptives for 1 year

Male Infertility

  • Male infertility is the cause of infertile marriages in 40-60% of cases

Primary Infertility

  • No prior pregnancies
  • Not related to the absence of internal genital organs
  • Not related to pregnancies terminated for medical reasons

Secondary Infertility

  • Previous pregnancies
  • Absence of pregnancy for 1 year of regular unprotected intercourse

Female Infertility Factors

  • Obstruction of fallopian tubes
  • Ovulation disorders
  • Endometrial diseases and uterine malformations
  • Immunological factors

Endocrine Infertility

  • Characterized by ovulation disorders
  • Can manifest as irregular menstruation

Examining an Infertile Couple

  • Starts with the man, if female infertility is excluded otherwise both should be examined equally.

Infertility Diagnostic Methods

  • Hormonal blood tests (LH, FSH, PRL, somatotropic hormone, cortisol, testosterone, estradiol, TSH, T, Tu)
  • General clinical and gynecological bimanual examination

Medications for Ovulation Stimulation

  • Clomiphene

Infertility Diagnosis Duration

  • Should last no more than 3 months

IVF and Embryo Transfer Indications

  • Absolute tubal infertility
  • Asherman's syndrome

Assisted Reproductive Technologies

  • Manipulations with embryonic material to overcome infertility
  • Surgical restoration of fallopian tube patency
  • Correction of genital developmental defects

Family Planning Goals

  • Birth of wanted children
  • Decreased unplanned pregnancies
  • Decreased induced abortions
  • Decreased maternal mortality rate
  • Decreased perinatal mortality rate

Medical Abortion Drugs

  • Antiprogestins
  • Prostaglandins

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Infertility Medical Guide PDF

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