Infertility Concepts and Statistics

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Questions and Answers

Which hormonal tests are primarily used to assess male fertility?

  • Testosterone and Dihydrotestosterone (DHT)
  • Luteinizing Hormone (LH) and Estradiol
  • Follicle Stimulating Hormone (FSH) and testosterone (correct)
  • Progesterone and Luteinizing Hormone (LH)

What is the purpose of a testicular biopsy?

  • To diagnose unexplained male infertility and azoospermia (correct)
  • To evaluate hormonal levels
  • To determine the genetic profile of the individual
  • To assess the health of the ovaries

Which imaging technique is commonly used to evaluate female fertility?

  • MRI of the abdomen
  • Pelvic ultrasound or hysterosalpingography (correct)
  • Transvaginal ultrasound exclusively
  • CT Scan of the pelvis

What distinguishes idiopathic infertility from other forms of infertility?

<p>It remains unexplained despite various diagnostic tests. (C)</p> Signup and view all the answers

Which type of factor refers to conditions inherent at birth that may affect reproductive function?

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

What is one example of an extrinsic factor affecting fertility?

<p>Physical injury to the reproductive organs (A)</p> Signup and view all the answers

Which of the following statements about azoospermia is true?

<p>It is a condition where semen contains no sperm. (A)</p> Signup and view all the answers

Which of these factors may impede fertility due to their impact on reproductive dysfunction?

<p>Extrinsic stressors such as environmental toxins (A)</p> Signup and view all the answers

What is a significant characteristic of Turner's Syndrome?

<p>Under-developed ovaries (C)</p> Signup and view all the answers

How does Klinefelter syndrome affect male fertility?

<p>It causes hypogonadism leading to reduced sperm count (D)</p> Signup and view all the answers

What role does an individual's medical history play in diagnosing congenital disorders affecting fertility?

<p>It is crucial for understanding congenital conditions (C)</p> Signup and view all the answers

Which condition is often diagnosed using chromosome analysis, also known as karyotyping?

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

Which of these outcomes is commonly associated with pregnancies in women with Turner's Syndrome?

<p>High rates of stillbirth and malformed babies (C)</p> Signup and view all the answers

What is the primary cause of infertility in most females with Turner's Syndrome?

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

In congenital anatomical anomalies, what does cryptorchidism refer to?

<p>Failure of testes to descend (B)</p> Signup and view all the answers

Which of the following symptoms is NOT associated with Klinefelter Syndrome?

<p>Increased muscle mass (A)</p> Signup and view all the answers

What does subfertility indicate in a couple's ability to conceive?

<p>Reduced fertility with an extended time to conceive. (C)</p> Signup and view all the answers

Which diagnostic factor is NOT typically evaluated during infertility assessments?

<p>Personal dietary preferences. (D)</p> Signup and view all the answers

What is the primary distinction between primary and secondary infertility?

<p>Secondary infertility develops after a successful pregnancy. (A)</p> Signup and view all the answers

Which of the following is an example of a potential cause of infertility related to hormonal imbalances?

<p>Unregulated levels of reproductive hormones. (A)</p> Signup and view all the answers

Which term defines the total fertility rate required for a population to replace itself without migration?

<p>Replacement level-fertility. (D)</p> Signup and view all the answers

What is considered a common factor contributing to secondary infertility?

<p>High rates of postpartum infections. (C)</p> Signup and view all the answers

Which of the following is true regarding the definition of infertility?

<p>Infertility is recognized after 12 months of regular unprotected intercourse without conception. (B)</p> Signup and view all the answers

What role do gametes play in assessing infertility?

<p>They represent the cells involved in reproduction, impacting conception chances. (A)</p> Signup and view all the answers

Flashcards

Testicular Biopsy

A diagnostic procedure used to identify male infertility and azoospermia.

Imaging Tests (Infertility)

Pelvic/scrotal ultrasound or MRI to help find problems with reproductive organs.

Physical Exam (Infertility)

Checking the genitals, and sometimes breasts and pelvis to help find infertility causes.

Hormonal Tests (Infertility)

Tests for hormones like FSH, testosterone, or progesterone to evaluate hormonal imbalances that affect fertility.

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Genetic Testing (Infertility)

Used to identify genetic disorders that can affect fertility.

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Idiopathic Infertility

Infertility with no known cause.

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Azoospermia

Absence of sperm in semen.

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Infertility Causes

Resulting from intrinsic (body) or extrinsic (environmental) factors, or a combination.

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Replacement Level Fertility

The fertility rate where a population exactly replaces itself, without migration.

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Fertility

Ability to get pregnant within 12 months of unprotected sex.

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Subfertility

Reduced fertility; takes longer to conceive.

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Infertility

Inability to get pregnant after 12 months of unprotected sex.

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Primary Infertility

Never been pregnant before, despite trying for a year.

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Secondary Infertility

Unable to conceive after being pregnant before.

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Sterility

Complete inability to conceive naturally; often permanent.

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Gametes

Reproductive cells (sperm and eggs).

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Congenital Disorders

Conditions present at birth that can affect fertility. These often involve reproductive organ abnormalities impacting sperm or egg production.

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Anorchia

A condition where a male is born without testes. This is a severe form of congenital disorder that directly affects fertility.

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Cryptorchidism

One or both testes fail to descend into the scrotum during prenatal development. This can affect fertility depending on severity.

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Turner's Syndrome

A genetic disorder in females with a missing or partially missing X chromosome. This often leads to underdeveloped ovaries and infertility.

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Gonadal Dysgenesis

Any congenital developmental disorder affecting the gonads (testes or ovaries). This impacts fertility by disrupting sex hormone production and gamete development.

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Klinefelter Syndrome

A genetic disorder in males with an extra X chromosome. This often leads to low testosterone and reduced sperm count, causing infertility.

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Hypogonadism

Low testosterone production. This affects male fertility by reducing sperm production and impacting libido and sexual function.

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Karyotyping

A test to analyze chromosomes. It's used to diagnose genetic disorders like Klinefelter syndrome and Turner's syndrome, helping understand infertility causes.

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Study Notes

Basic Concepts and Statistics of Infertility

  • Fertility is closely linked to reproductive function
  • Structural or functional abnormalities in the reproductive system can impair reproductive capacity
  • Reproductive problems can lead to infertility

Demographic Terms for Fertility

  • Fertility: The natural ability to produce offspring
  • Fecundity: The potential output of reproduction, measured by the number of gametes, seeds, etc.
  • Fertility Rate (TFR): The average number of children born or expected to be born to a woman in her lifetime, considering current age-specific fertility rates
  • Birth Rate: The total number of live births per 1,000 people in a population in a given year or period.

Statistics on Infertility

  • Globally, over 186 million people suffer from infertility
  • Infertility affects 8-12% of couples of reproductive age worldwide
  • Infertility in developing countries is higher—one in four couples versus one in seven in developed nations
  • Fertility declines with age, more steeply in women after age 37 and in men after 40
  • Lifestyle and environmental factors contribute to infertility, especially with increasing age

Fertility and Population Dynamics

  • Fertility studies inform national/global policies impacting reproductive healthcare, family planning, child development, and support for aging populations
  • Accurate understanding of population dynamics is needed for policy decisions and resource allocation
  • Population dynamics is the branch of life sciences studying population size, age structure, and trends, and the processes influencing them

Clinical Terminology for Fertility

  • Fertility: The ability to achieve a clinical pregnancy in 12 months of regular intercourse without contraception
  • Subfertility: Reduced fertility, characterized by a prolonged time to conception
  • Infertility: Inability to conceive a child after 12 months of regular intercourse without contraception
  • Sterility: Complete inability to conceive

Types of Infertility

  • Primary Infertility: Couples who have not conceived after one year of regular intercourse without contraception
  • Secondary Infertility: Couples who have previously conceived but are now unable to conceive

Factors Influencing Infertility

  • Hormones, gametes, gonads, reproductive ducts, and external genitalia are examined in infertility evaluations
  • Any factor that affects these components negatively impacts fertility

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