Week 1 Powerpoint
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KR has been unsuccessfully trying to get pregnant for 1.5 years with irregular periods and no positive ovulation readings. She is feeling depressed and has questions about seeing a fertility specialist. A fertility specialist can run tests on both partners to determine the cause of infertility and has extensive training in this area. The first visits would involve hormone level tests and the second would include additional tests like ultrasounds, hormone tests, and procedures like hysteroscopy and laparoscopy to examine the reproductive organs. If clomiphene treatment fails to induce ovulation, injectable fertility drugs may be considered. Metformin is sometimes used alongside clomiphene to treat infertility in women with PCOS.
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![[object Object],[object Object],[object Object],[object Object],KR’s Questions : Should I meet with a fertility specialist? What are the advantages? What tests will be run? Metformin helped my friend conceive, what should I know about that? 35 year old woman (gravida 0, para 0)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
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This document provides information about infertility, its causes, diagnostic testing, and treatment options. It discusses common female causes of infertility like damaged fallopian tubes or hormonal issues. It also describes fertility drugs that can be used to treat ovulation disorders, including clomiphene, gonadotropins, and aromatase inhibitors. The risks of multiple pregnancies from fertility drugs is addressed. Metformin is discussed as a treatment for infertility associated with polycystic ovary syndrome.
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The document discusses infertility, its causes and treatments. It defines infertility as the inability to conceive after one year of regular unprotected sex. Approximately 10-15% of couples experience infertility, with female factors accounting for 60% of cases, male factors 30% and both male and female factors in 10% of cases. Common female causes include problems with ovulation, fallopian tubes or cervical factors. Common male causes include abnormal sperm production or function. Treatments aim to address the specific cause, and may include ovulation induction medications, surgery, assisted reproduction technologies like IUI or IVF.
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Infertility
Infertility is defined as the inability to conceive after one year of unprotected intercourse. It can be caused by issues with ovulation, the fallopian tubes, uterus, cervix, or vagina in women or by low sperm count or quality, obstruction, or ejaculation issues in men. Diagnostic evaluation involves medical histories, physical exams, and lab tests of both partners. Treatment may include medications to stimulate ovulation, artificial insemination, in vitro fertilization, gamete intrafallopian transfer, or zygote intrafallopian transfer depending on the causes of infertility.
Amh test
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Ovulation induction
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Infertility treatments
Infertility has become a major problem, leading to the growth of infertility clinics. Common infertility treatments include fertility drugs to promote ovulation, intrauterine insemination (IUI) of sperm, and assisted reproductive technologies (ART) like in vitro fertilization (IVF). However, these treatments can cause complications like multiples from drugs, ovarian hyperstimulation syndrome, and bleeding or birth defects. The document recommends considering natural treatments as safer and more effective options to improve overall health without risks of medical treatments.
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Menstrural Cycle
Menstruation occurs monthly in females and involves shedding the uterine lining. It typically lasts 3-5 days and is part of the menstrual cycle, which begins at puberty and ends at menopause. The cycle involves the menstrual, follicular, and luteal phases. During the follicular phase, hormones stimulate follicle and egg development. Ovulation occurs mid-cycle when an egg is released. If fertilization does not occur, the corpus luteum breaks down, causing menstruation. Various drugs can be used to induce ovulation in cases of infertility.
FIRST LINE THERAPY - CLOMIPHENE CITRATE & LETROZOLE BY DR SHASHWAT JANI
Dr. Shashwat Jani discusses ovulation induction using clomiphene citrate and letrozole. He explains that clomiphene citrate works by blocking estrogen receptors in the pituitary and hypothalamus, increasing FSH levels and causing the development of multiple follicles. However, it has anti-estrogenic side effects and a lower pregnancy rate than letrozole. Letrozole inhibits the aromatase enzyme, reducing estrogen levels and stimulating the hypothalamic-pituitary axis to induce mono-follicular development with fewer side effects and a higher pregnancy success rate than clomiphene citrate.
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Drugs square measure wont to stimulate the ovaries to supply multiple eggs to extend the probabilities of physiological state.
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Week 1 Powerpoint
- 1. Group 4 Kristen Dominik, Kelly Lawn, Kelly Magoffin, Leigh Smyczek, Jennifer Townsell