Infertility resident survival guide: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
Shown below is an algorithm summarizing the diagnosis of < | Shown below is an algorithm summarizing the diagnosis of male infertility | ||
{{familytree | {{familytree/start |summary=PE diagnosis infertility.}} | ||
{{familytree | | | | | {{familytree | | | | | | | | A01 | | | A01=Couple with infertility }} | ||
{{familytree | | | | |!| | | | }} | {{familytree | | | | | | | | |!| | | | }} | ||
{{familytree | | | | | {{familytree | | | | | | | | B01 |B01=<div style="float: left; text-align: left; line-height: 150% ">'''Detailed history''' including <br>❑ Any history of abdominal or pelvic [[surgery]]? <br>❑ [[Menstruation|Menstrual history]] <br>❑ History of [[contraceptive]] use <br>❑ Obstetric history</div>}} | ||
{{familytree | | |,|-| | {{familytree | | | | | | | | |!|}} | ||
{{familytree | | | {{familytree | | | | | | | | C01 | | | C01= '''Initial investigations'''}} | ||
{{familytree | | | | | | | | |!| | | |}} | |||
{{familytree | | | | | | | | D01 | | | | | | | |D01=<div style="float: left; text-align: left; line-height: 150% ">❑ [[Urine]] examination <br>❑ [[Complete blood count]] <br>❑ [[Semen]] analysis </div>}} | |||
{{familytree | | | | | | | | |!| | | | | | | | | |}} | |||
{{familytree | | | | | | | | E01 |E01=Normal semen analysis}} | |||
{{familytree | | | | | | | | |!|}} | |||
{{familytree | |,|-|-|-|-|-|-|+|-|-|-|-|v|-|-|-|-|.|}} | |||
{{familytree | F01 | | | | | F02 | | | F03 | | | F04 |F01=[[Ovary|Ovarian causes]]|F02=[[Endometrium|Endometrial causes]]|F03=[[Cervix|Cervical causes]]|F04=[[Fallopian tube]] causes}} | |||
{{familytree | |!| | | | | | |!| | | | |!| | | | |!|}} | |||
{{familytree | G01 | | | | | G02 | | | G03 | | | G04 |G01=<div style="float: left; text-align: left; line-height: 150% ">'''Methods to detect ovulation''' <br>❑ Basal body temperature measurement throughout cycle <br>❑ Vaginal cytology <br>❑ Cervical mucus study <br>❑ Serum [[progesterone]] <br>❑ Serum [[Lutenizing hormone]] <br>❑ Serum [[estradiol]] <br>❑ Urine [[Lutenizing hormone]] level <br>❑ [[Transvaginal ultrasound]]|G02=Endometrial [[biopsy]]|G03= Cervical mucus study|G04=<div style="float: left; text-align: left; line-height: 150% ">❑ [[Hysterosalpingography]] <br>❑ [[Laproscopy]]</div>}} | |||
{{familytree/end}} | {{familytree/end}} | ||
Revision as of 16:58, 1 September 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sanjana Nethagani, M.B.B.S.[2]
Synonyms and keywords:
Overview
Infertility is defined as a failure to conceive after one or more years of unprotected intercourse[1]. Infertility is divided broadly into primary and secondary infertility where primary infertility is failure to conceive and secondary infertility is failure to conceive after a previous pregnancy. Multiple factors play a role in conception and infertility such as healthy spermatozoa, regular ovulation, patent fallopian tubes, normal uterine cavity etc.
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Diagnosis
Shown below is an algorithm summarizing the diagnosis of male infertility
| Couple with infertility | |||||||||||||||||||||||||||||||||||||||
Detailed history including ❑ Any history of abdominal or pelvic surgery? ❑ Menstrual history ❑ History of contraceptive use ❑ Obstetric history | |||||||||||||||||||||||||||||||||||||||
| Initial investigations | |||||||||||||||||||||||||||||||||||||||
| Normal semen analysis | |||||||||||||||||||||||||||||||||||||||
| Ovarian causes | Endometrial causes | Cervical causes | Fallopian tube causes | ||||||||||||||||||||||||||||||||||||
Methods to detect ovulation ❑ Basal body temperature measurement throughout cycle ❑ Vaginal cytology ❑ Cervical mucus study ❑ Serum progesterone ❑ Serum Lutenizing hormone ❑ Serum estradiol ❑ Urine Lutenizing hormone level ❑ Transvaginal ultrasound | Endometrial biopsy | Cervical mucus study | |||||||||||||||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ Gnoth C, Godehardt E, Frank-Herrmann P, Friol K, Tigges J, Freundl G (2005). "Definition and prevalence of subfertility and infertility". Hum Reprod. 20 (5): 1144–7. doi:10.1093/humrep/deh870. PMID 15802321.