Infertility.pptVIP

Infertility Fertility BBT Cervical Changes Home Ovulation Prediction Causes of infertility Male factor infertility Tubal Infertility Ovarian Factor Infertility Fertility Drugs Assisted reproductive technologies (ART) I. Fertility Having the capacity for fertilization Dependent upon both male female, but female’s age makes a BIG difference Fertility rates Determining fertility – how can you tell if you are fertile? BBT: Basal body temperature Cervical Changes Home ovulation kits Line nearest the arrow (surge line) is similar to or darker than the line furthest away from the arrow (reference line). This means that you have detected your LH surge and you should ovulate after the next 24-36 hours. You are at your most fertile period in the next 2 days. Line nearest the arrow (surge line) is not visible or is paler than the line furthest away from the arrow (reference line). This means that you have not begun your LH surge and are not about to ovulate. You should continue your daily testing. II. Causes of Infertility Male factor infertility Semen examination Volume Viscosity pH Fructose content Sperm count Motility Morphology B. Female factor Vaginal Cervical Factors Changes in vaginal pH can reduce sperm motility Problems with cervical mucus blocking sperm entry Sperm agglutinization (allergic reaction) Uterine Tubal Factors Severely “tipped” uterus can impair entry of sperm through endocervical canal Fibroids – obstruct fallopian tubes or interfere with implantation, placental formation Endometriosis – decreases fertility for unknown reasons Occlusion of the Fallopian tubes Scar tissue – PID, surgery, infection Ovarian Factor Ovulation disorder, more likely to occur in older women Problems with corpus luteum development Problems with chromosomal content III. Fertility Drugs Treatment of ovulatory dysfunction Clomiphene citrate (Clomid, Serophene) – non-steroid synthetic anti-estrogen tricks the pituitary into producing more follicular stimulating hormone (F