Infertility Management and Referral

Slides:

Advertisements

Similar presentations

INFERTILITY-an overview for GPs

Advertisements

MANAGEMENT OF INFERTILITY CURRENT GUIDELINES

Specialist in Reproductive Surgery &

Infertility. Definitions Failure to conceive within 2 years of regular unprotected intercourse. Primary or secondary. 84% of couples will conceive within.

Fertility Issues Dr Jane Stewart Newcastle Fertility Centre at LIFE.

The McCoughey Septuplets. Infertility 101 Definitions Under 35 yoNo conception after one year of unprotected intercourse Over 35 yoNo conception after.

Understanding Infertility Basic Sciences A/Prof R Gyaneshwar FRANZCOG, MH.Ed Clinical Director of Obstetrics & Gynaecology Liverpool Health Service Conjoint.

Infertility in General Practice Kate Hooks ST2 GP.

May 18, 2015 NURS 330 Human Reproductive Health. Agenda Review 5/4/15 In-Class Assignment Review Quiz Infertility Lecture Submission of Group Project.

Infertility 101 Dana Ambler, DO Director, Donor Egg Program Associate Physician Conceptions Reproductive Associates.

DR. ZEINAB ABOTALIB Professor & Consultant Obstetrics & Gynecology Dept.

6.6 Reproduction.

Infertility Chris Jordan. Contents Definition Examination Tests Lifestyle Causes Female Causes Male Causes Treatments.

SUBFERTILITY Subfertility is defined as failure to conceive after one year of unprotected regular sexual intercourse.

Infertility New Issues. Yunus Tayob Clinical Lead in Reproductive Medicine and Reproductive Endoscopic Surgery.

Christopher R. Graber, MD Salina Women’s Clinic 10 Dec 2010.

“My biological clock is running out, doctor” Max Brinsmead MB BS PhD April 2014.

OSCE Gynecology.

INFERTILITTY SALWA NEYAZI CONSULTANT OBSTETRICIAN GYNECOLOGIST PEDIATRIC & ADOLESCENT GYNECOLOGIST.

Antenatal and fertility

Male & Female Investigations Workup Routine / Prior to IVF

So what is the problem? Michael Savvas Assisted Conception Unit King’s College Hospital.

Amenorrhea Dr Nadia algantary Associated proffessor Faculty of medicine.

بسم الله الرحمن الرحيم. بسم الله الرحمن الرحيم Problem Based Learning Infertility.

Laura Neale.  Unprotected sex 1 year (unless known problems)  Primary or secondary  Predisposing factors ◦ Menstrual cycle ◦ STIs ◦ Previous ectopics.

Investigation of Infertility

Infertility. Fertility Sub fertility Sterility Infertility:Diminished capacity to conceive and bear a child Sterility:Absolute and irreversible inability.

INFERTILITY *Infertility affects 15% of reproductive age couples. *Infertility is defined as a couple’s failure to conceive following 1 year of unprotected.

1 INFERTILITY 1. Definitions Under 35 yoNo conception after one year of unprotected intercourse Over 35 yoNo conception after 6 months of unprotected.

Symptoms and Effects of A Prolactinoma on the Body Vision loss Hypopituitarism Osteoporosis Pregnancy Complications (Mayo Clinic) Photo: UCLA Health.

Infertility. History See together Full medical history Family history useful in women Rarely indicates cause.

VARICOCELE  Most common identifiable pathology in infertile men.  Affects 35% - 40% of men presenting for infertility evaluation.

FERTILITY TREATMENT AND IVF TYPES OF TREATMENT & THE PSYCHOLOGICAL EFFECTS.

Investigating infertile couple

INFERTILITY Assessment and treatment of patients with fertility problems Dr Nitu Raje-Ghatge.

OBJECTIVE STRUCTURED CLINICAL EXAMINATION “OSCE” (Gynecology)

Investigations of infertility

THE REPRODUCTIV E SYSTEM. Functional anatomy, physiology and investigations In the male, the testis subserves two principal functions: 1.synthesis of.

Infertility Dr Ismat Batool. DEFINITION Infertility is defined as the inability to conceive despite regular unprotected intercourse over a specific period.

Yasser Orief M.D. Lecturer of Obstetrics & Gynecology, Alexandria University Fellow, Lϋbeck University, Germany DGOL, Auvergné University, France.

Biology 105 Chapter 50: Reproduction Pages Chapter 50: Reproduction Pages

Infertility Boyarsky C., MD, PhD. Infertility Infertility is the inability to conceive after a year of unprotected intercourse.

Infertility. Objectives of this lecture: 1.To define infertility. 2.To know the prevalence and types of infertility. 3.To know the requirement of normal.

Infertility Work-up: Take Home Messages by Prof. Mohammad Emam Mansoura Faculty Of Medicine Mansoura Integrated Fertility Center EGYPT-2011.

Assessment & Treatment for Subfertility Treatment pathway Jayaprakasan K Consultant Subspecialist in Fertility Honorary Associate Professor & Consultant.

Management of Infertility in a District General Hospital Dr. H Muppala MBBS DGO Department of Obstetrics and Gynaecology Burnley general Hospital December.

APPROACH TO INFERTILITY Nissi Wei PGY-1 June 2016.

A QUICK TOUR OF INFERTILITY BLEEDING IN PREGNANCY REDUCED FETAL MOVEMENT AND POST DATES Dr Sonia Asif.

According sex, the gonads are : Ovaries (female) secrete:

INFERTILITY د.الق سعيد العارضي.

King Khalid University Hospital Department of Obstetrics & Gynecology

Primary AmenorrhoeaPrepared by Professor Dr.Lilyan Sersam

Ibrahim A. Abdelazim (Abdelazim IA; IA Abdelazim)

Male hypogonadism.

Natural fertilization & Infertility(male & Female)

PHARMACY TECHNICIAN CHAPTER THIRTY.

Infertility PCOS IVF Miss Fatima Husain MRCGP FRCOG DIPM

Infertility for the Family Doctor

Fertility Assessment & Treatment

Puberty Reproduction Pregnancy

c The biology of controlling fertility

Best IVF in Hyderabad Best IVF Center in Hyderabad Female Infertility.

INFERTILITY-an overview for GPs

In The Name Of God.

Key Area 2.3 – The Biology of Controlling Fertility

Solutions to Infertility

REPRODUCTION CHAPTER 39.

Presentation transcript:

Infertility Management and Referral Laura Neale

History and Examination Unprotected sex 1 year (unless known problems) Primary or secondary Predisposing factors Menstrual cycle STIs Previous ectopics Galactorrhoea/hirsutism/acne Systemic diseases Drug history (NSAIDs, chemotherapy, neuroleptics) Lifestyle factors BMI Features of PCOS

Investigations (1) Anovulatory Male factor Unexplained Tubal Other Think in terms of cause Anovulatory Male factor Unexplained Tubal Other

Investigations (2) Day 2-5 FSH and LH Day 21 progesterone Semen analysis Rubella screen Chlamydia screen

Investigations (3) If anovulatory TFTs Prolactin Oestradiol Testosterone SHBG Assess tubal status (unless semen analysis abnormal)

Counselling Optimise weight Usual lifestyle advise Folic acid Investigative course Costs (emotional and financial) Chances failure (i.e. only 15% success rate per IVF cycle if age > 36)