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Ë Psychological problems
Ë Debilitating disease such as Parkinson¶s disease or
VA
Ë Medications (anti- PN drugs)
Ë ERETILE DYSFUNTION
¢ ± never achieve erection & ejaculation
± has experienced ejaculation in the past
but now has difficulty
Sildenafil (Viagra) ± drug of choice
Female Infertility Factors
Ë AN'A|'N
± most common cause of infertility in women
± May result from hormonal imbalance.
Ë Ovarian tumors may produce such d/t
feedback stimulation on the pituitary.
Ë Stress affects by Ļ hypothalamic secretion of
GnR , eventually Ļ L & FS
Ë POS ± ovaries fail to respond to FS
|
Ë Tumors
Ë ongenitally deformed uterine cavity
Ë Endometriosis
± Implantation of uterine endometrium, or nodules
that have spread from the interior of the uterus to
locations outside
Ë cervical mucus
Ë Polyp obstructing the cervical os
Fertility Testing
Semen Analysis
Ë After 2-4 days of sexual abstinenc
Ë ejaculates by masturbation into a clean, dry specimen
jar
Ë examined within r hour
Ë Number, appearance & motility is noted
Ë Test may be repeated after 2-3 months
Î
A
A
Ë BBT
Ë Ovulation by test strip
s Assesses upsurge of L that occurs
before ovulation
Tubal Patency
s Sonohysterography
s Ultrasound to inspect uterus
s inspect the uterus for abnormalities
s septal deviation or mass.
s ysterosalpingography
s Radiologic exam of fallopian tubes
s radiopaque medium most commonly used to
assess tubal patency
Advanced Surgical
Procedures
R
Ë Suspected pregnancy
Ë Presence of infection
Ë RYOPRESERVED (frozen)
Ë r day after ovulation, sperm is injected
A
ÎAAMA|$