Infertility Consult | Western Sydney University - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

493

Pages:

4
Author:

Mariam A. A.

Infertility Consult History Ages for both How long have they been trying? Do they time it in with ovulation? Has either of them ever had children? Has Mrs F ever gotten pregnant and had a miscarriage? Medications Known medical conditions For Mrs F Menstrual cycle Hx: Length Regularity Intermenstrual bleeding Amount Clotting How many pads Flooding Pain Dyspareunia Do they have any sexual dysfunction esp. with ejaculation? Past surgeries Family history STIs CST or any other screening tests? Have they tried any fertility treatments? Any prior tests? Such as sperm analysis or U/S Social history Diet Smoking Alcohol Drugs Examination BMI Blood pressure Glucose levels Pelvic exam and bimanual examination for Mrs. F Also do abdominal exam for any masses or tenderness Breast exam for Mrs. F Speculum exam for Mrs. F Thyroid exam for both Features of hypogonadism for Mr F Decreased body hair Gynecomastia Small tests Genital exam Testicular size and consistency Varicocele Vas deferens Penile abnormalities Investigations FBC, Hb TFT Female hormone profile and testing for ovarian reserve Days 2-4 FSH, LH and E2 mid luteal progesterone usually one week before menstrual cycle (assuming a 28-day cycle) AMH Antral follicle count Androgens Prolactin and TSH -> pituitary disorders TVUS and Abdo PVUS Do a normal one foe cervix, adnexa and uterus -> for adhesions and endometriosis Do a mid-luteal one -> to evaluate quality and size of developing follicles Semen analysis and immunobead test for anti-sperm antibodies Testing for tubal patency with laparoscopy, hysteroscopy, dye studies, D&C or hysterosalpingogram Scrotal U/S -> if varicocele or structure abnormality is suspected Genetic testing Rubella and varicella immunity

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