Self Care Exam 2 - Fertility and Pregnancy

what two hormones stimulate folliculation

FSH and LH

A regressing corpus luteum means that …

conception has not occured. It will be shed during period

Why do progesterone levels fluctuate throughout menstrual cycle?

to prep body for implantation if conception occurs

Progesterone before ovulation

• low levels

• produced by adrenal cortex

Progesterone after Ovulation

• steady rise in progesterone levels

  • if conception occurs → levels remain high

  • if no conception → levels drop

• produced by ovaries

When is a woman most fertile?

During ovulation (day 14)

Who needs to be tested for fertility?

Both partners

Semen Analysis

tests for presence of sperm

What is the most common semen analysis test

sperm count analysis

C line on tests indicates what?

That the test is working

T line on semen analysis test indicates what?

there is a normal sperm count

positive sperm analysis does not indicate fertility

true

FSH test is the first line for fertility testing in women

False - NOT first line

FSH tests

• used with other tests

• assesses status of ova in ovaries

OTC fertility tests are used to assess ___ status in women and are NOT approved for fertility testing

menopause

Ovulation predictor tests

• smiley face indicates positive test

• identifies most fertile days

• identifies LH surge

Testing of ovulation predictor tests

• begin testing on day 12 and continue for 4 days or until a positive test

What does a positive ovulation predictor test indicate?

LH surge

• greatest chance for conception

When is the most fertile period?

Day 14 during ovulation

Home PG tests identify presence of __

Human chorionic gonadotropin (hCG)

hCG is produced by

placenta after fertilization

What does a faint T line mean?

• hCG is present therefore pregnant

What are 3 causes of a faint T line?

• early pregnancy (low hCG early in PG)

• testing too soon

• diluted urine (due to hydration)

Retesting recommendations for PG tests

• wait a few days and then retest

• cut back on fluids before testing

hCG tests will report positive as early as ____ days after ovulation (few days before next pd)

10-12

when is the best time to retest for PG

• time of next period or a few days after a missed period