Module 6.2: Fertility

4x a week

How many times per week is the recommended number of coitus?

20 million per mL, 50 million per ejaculation

Normal sperm count per mL and per ejaculation

Mumps orchitis

It refers to testicular inflammation and scarring due to mumps and can cause adhesions that interfere with sperm transport.

Sildenafil (Viagra)

What drug is given to patients with erectile dysfunction?

Finasteride

What drug, which is used to treat BPH, causes erectile dysfunction along with anti-hypertensives?

2-4 days

How many days of abstinence is required prior to semen analysis?

1 hour

During a semen analysis, the collected sample must be examined under the microscope within how many hours?

50-200 million

2.5-5mL of semen would contain a minimum of how many sperm per mL?

After 2-3 months

When is a semen analysis repeated?

30-90 days

How many days do sperm cells need to mature?

7-10 days

At least how many days of abstinence are needed to increase sperm count and motility?

6 months

How many months should a male practice abstinence or condom use to address sperm transport concerns if it is immunologic?

Serotonin selective reuptake inhibitors (Dapoxetine)

What drug is used for premature ejaculation?

Anovulation

What is the most common cause of female infertility?

Turner’s syndrome

What genetic abnormality causes anovulation, wherein there is a missing X chromosome leading to decreased FSH and LH levels?

Polycystic Ovarian Syndrome (PCOS)

What condition is characterized by excessive testosterone that decreases FSH and LH levels and leads to symptoms such as hirsutism?

Inadequate endometrium formation

A decrease in estrogen and progesterone may lead to?

Endometriosis

It refers to the spread of endometrial tissue outside the uterus and is a predisposing factor for cancer cell formation.

Acidic

Infections make vaginal secretions more __, limiting and destroying sperm motility.

2 days

How many days before/after ovulation can a couple trying to conceive engage in coitus?

3-4 days

How many days does the BBT stay elevated before the next period?

14th day

On what day does the BBT dip slightly by 0.5-degrees Celsius?

Sonohysterosalpingogram

What diagnostic procedure assesses FT patency and depth/consistency of the endometrial lining through an ultrasound contrast?

Sonohysterography

What diagnostic procedure allows for the visualization of the uterus filled with sterile salin through the use of a transducer and done during menstruation?

Hystero- or Uterosalpingography

What diagnostic procedure makes use of a radiopaque medium immediately after menstruation but can cause momentary cramping and can lead to embolism and allergic reaction to the contrast?

Endometrial Biopsy

What procedure is conducted 2-3 days before the expected menstruation and makes use of regional anesthesia?

Laparoscopy

What procedure makes use of general anesthesia and engaging the patient in a steep Trendelenburg position?

Follicular phase

At what phase does a patient have to be in to undergo laparoscopy?

Clomiphene citrate and ietrozole

What two drugs are used to stimulate ovulation but may cause multiple gestation?