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Infertility lecture

Infertility lecture - Infertility and Reproductive...

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Infertility and Reproductive Technology
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To get pregnant…. Woman must release egg from ovary (ovulate) Egg must travel from ovary thru fallopian tube toward uterus Mans sperm must join egg (fertilization) on way to uterus Fertilized egg must implant on lining of uterus..
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Facts: 6.1 million couples Represents 10% of all couples trying to get pregnant
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Question 1 What are the chances of achieving a viable pregnancy in any given month?
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Answer 1 Age 15 40 – 50% Age 25 30% Age 45 3%
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Question 2 How do you know if you are have infertility issues?
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Answer 2 If a couple has been trying for 12 cycles without achieving a viable pregnancy.
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Age 29 – 33 4 months 50% pregnant 6 month 75% 9 months 90% 12 months 95% 24 months 97.5%
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Miscarriage Spontaneous loss before 12 completed weeks after last period Age 15 –19 10% risk 25-29 10% 35-39 18% 40-44 34% >45 50%
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Primary Infertility Never achieved a viable pregnancy
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Secondary Infertility Infertile with one or more pregnancies in the past
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Question 3 What is the leading cause of infertility in a couple?
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Answer 3 Low sperm count 30% of all infertility (1/3 of all cases of infertility) Under 20,000,000 per cc of semen is low Under 10,000,000 per cc is absolutely infertile NOTE: 25-35% fertility problems in male; 25- 35% in female
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What are some causes of Male Infertility?
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Alcohol, drugs, pollutants, smoking… Environmental exposures: high temp, radiation.. Medical treatment: medicines, chemo, radiation Emotional: high stress levels
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Female Factors Ovulatory abnormalities 30% of all infertility
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Causes of anovulation Contraceptives. Some women who take birth control pills may not have periods. When oral contraceptives are stopped, it may take 3 to 6 months to resume regular ovulation and menstruation. Contraceptives that are injected or implanted, such as Depo- Provera, may also cause amenorrhea, as can newer progesterone- containing IUDs, such as Mirena.
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