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Week 1 OB PALSChapter 3Hernias or surgeryRisk factors for male infertilitiyEnvironmental pollutants, marijuana, cocaine, drug alcohol use, old age, impotence, smokingFemal infertility:Clomid (stimulates egg production), Selective estrogen receptor modulator, abnormalities with fallopian tubesMallolectomy, take away baby making areaSTDS can cause infertility, important to get treatmentRisk factors for infertility:Autoimmune disorder, eating disorder, malnutrition, diabetes, excessive exercising (amenorrhea), obesity. Types of treatment (fertility)Artificial insemination put sperm into uterus or cervix with a catheterPoor cervical, mucus production, diminished sperm for males, not best anatomical shape for sperm, decreased motility. Aspirate sperm from testes:Take sperm and match with harvested egg, even with vasectomy, artificial inseminationNO sperm count, low sperm in ejaculate, will still aspirateIVF: In Vitro FertilizationHarvest eggs, fertilize them, choose to have eggs frozen, examine eggs and sperm make sure they are compatible, then take fertilized egg and plant in uterus. Genetic Diseases:Figuring out what diseases are, who is most at riskSick Cell Anemia:Cell is not round, is crescent shape, does not allow hemoglobin intothe blood, common in African AmericansCystic Fibrosis: More common in European ancestry, has to do with thick mucus clogs in bronchial tree, respiratory infections. Can lead to pulmonary failure. Tay Sachs: fOiund in jesish ancestry, neuro degenerative disease
Pku: Phenylketonuria, test newborns for it to see if they have it if they do they cannot breastfeed, lack of enzyme needed to metabolize protein, have to have special formula, diet while growing up, can lead to mental and physical retardation. Function of the placenta:Two main functions metabolic and gas exchange, hormone productionMetabolic and gas exchange: Baby Co2 goes to mom to get rid of it, mom I transferring oxygen and nutrients to the baby, done through diffusion. HCG and HPL, estrogenProgesterone: Decreases uterine contractility, also helps to facilitate implantationEstrogen: Stimulate uterine enlargement, and breast enlargementHCG: Hormone goes up when pregnant, goes up during first trimester, than rapid decline because of placenta taking over.