OB chapter 9 --> infertility

infertilty defintion and incidence

- defined as a prolonged time frame to conceive

- 18% of couples that are reproductive age are infertile

sterilty

- when a person is unable to conceive

- not just a hard or prolonged time, actually unable

Female factors affecting fertility

1. ovulation or hormonal factors

2. uterine lining issues

3. vaginal-cervical factors like a high vaginal PH

male factors of infertility

1. Undescended testes

2. hypospiadas

3. advanced age

4. low testosterone

common conditons affecting fertilty

1. Genetic and endocrine disorders

2. obesity

3. stis

4. substance use

5. advanced age

options for transgender patient to preserve fertilty

1. can do cryopreservation of oocytes and sperm to maintain fertility

2. can disregard hormonal gender reassignment therapy to preserve fertilty