ACOG Infertility Questions and Answers
100% Solved
Physical exam of female infertility patient: - weight, body mass index, blood pressure, and
pulse
-thyroid enlargement and presence of any nodules or tenderness
- breast secretions and their character
- signs of androgen excess
- tanner staging of breasts and pubic and axillary hair
- vaginal or cervical abnormality, secretions, or discharge
- pelvic or abdominal tenderness, organ enlargement, or masses
- uterine size, shape, position, and mobility
, - adnexal masses or tenderness andc cul-de-sac masses, tenderness, or nodularity
Although there are no definitive criteria for diminished ovarian reserve, the following values
may be considered consistent with diminished ovarian reserve: - 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).
Ovarian reserve can be assessed by measuring
estradiol and FSH ____(timing)____? between cycle days 2-5
Estradiol serves as an aid for interpreting FSH results. Basal estradiol levels typically should be
_______________ less than 60-80 pg/mL
100% Solved
Physical exam of female infertility patient: - weight, body mass index, blood pressure, and
pulse
-thyroid enlargement and presence of any nodules or tenderness
- breast secretions and their character
- signs of androgen excess
- tanner staging of breasts and pubic and axillary hair
- vaginal or cervical abnormality, secretions, or discharge
- pelvic or abdominal tenderness, organ enlargement, or masses
- uterine size, shape, position, and mobility
, - adnexal masses or tenderness andc cul-de-sac masses, tenderness, or nodularity
Although there are no definitive criteria for diminished ovarian reserve, the following values
may be considered consistent with diminished ovarian reserve: - 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).
Ovarian reserve can be assessed by measuring
estradiol and FSH ____(timing)____? between cycle days 2-5
Estradiol serves as an aid for interpreting FSH results. Basal estradiol levels typically should be
_______________ less than 60-80 pg/mL
