With Complete Solutions
_____________ estradiol levels may have a suppressive effect
on FSH levels and are indicative of decreased ovarian reserve
Correct Answers elevated
______________________ is the most common cause of
ovulatory infertility Correct Answers Polycystic ovary
syndrome
Anovulation may be related to obesity, hypothalamic and
pituitary dysfunction, PCOS, and other etiologies.
All women in whom PCOS is diagnosed should be screened for:
Correct Answers metabolic syndrome with measurements of
waist circumference, blood pressure, fasting lipid panel, and
glucose tolerance testing
Although there are no definitive criteria for diminished ovarian
reserve, the following values may be considered consistent with
diminished ovarian reserve: Correct Answers - antimüllerian
hormone (AMH) value less than 1 ng/mL
- antral follicle count less than 5-7
- follicle-stimulating hormone (FSH) greater than 10 IU/L
- a history of poor response to in vitro fertilization stimulation
(fewer than four oocytes at time of egg retrieval).
, Antral follicle counts may be _______ in women with
polycystic ovary syndrome (PCOS) or _____________ in those
women with hypothalamic amenorrhea or those using certain
hormonal contraceptives Correct Answers Antral follicle
counts may be elevated in women with polycystic ovary
syndrome (PCOS) or depressed in those women with
hypothalamic amenorrhea or those using certain hormonal
contraceptives
Basic infertility evaluation components Correct Answers
Female:
History, Physical, Prepregnancy evaluation
Additional evaluation for etiology of infertility:
- diminished ovarian reserve (AMH
or basal FSH and estradiol
or Transvaginal US with astral follicle count)
- Ovulatory dysfunction (ovulatory function test (serum
progesterone measurement)
- Tubal factor (HSG, Hysterosalpingo-constrast sonography)
- Uterine factor ( Transvaginal US, sonohysterography,
hysteroscopy, HSG)
Male:
history and semen analysis
Because _________ levels remain relatively stable through- out
the menstrual cycle, they can be assessed on any day of the
menstrual cycle Correct Answers AMH