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Fertility and Assisted Reproduction

Assisted reproduction techniques

  • 3 things to know
  • Components 01, 02 and 03

Overview

Recall questions on ovulation induction with clomifene and its risks, intrauterine insemination, donor sperm and its quarantine, the stages of IVF, intra-cytoplasmic sperm injection, surgical sperm retrieval, frozen embryo replacement, and gamete intra-fallopian transfer.

What you need to know

Answer each one before you reveal it.

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Process

Outline the main stages of IVF.

Key term

How does an anti-oestrogen drug such as clomifene increase FSH secretion?

Key term

Give one serious risk of ovulation induction and explain how it is reduced.

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What is ovulation induction, and which patients is it used for?

    Model answer

    It is the use of drugs to make the ovary develop and release a follicle, used for women who do not ovulate regularly or at all, such as those with polycystic ovary syndrome.

  2. 2

    How does an anti-oestrogen drug such as clomifene increase FSH secretion?

    Model answer

    It blocks oestrogen receptors in the hypothalamus and anterior pituitary, so the oestrogen already present is not detected and its negative feedback is lost, and GnRH, FSH and LH secretion therefore rise and drive follicle development.

  3. 3

    Give one serious risk of ovulation induction and explain how it is reduced.

    Model answer

    The ovaries can over-respond, causing a multiple pregnancy or ovarian hyperstimulation syndrome, so follicle growth is tracked by ultrasound and the dose is lowered or the cycle abandoned if too many follicles develop.

  4. 4

    Describe intrauterine insemination.

    Model answer

    A prepared, concentrated sample of the most motile sperm is passed through the cervix into the uterus with a fine catheter at the time of ovulation, so that the sperm bypass hostile cervical mucus and start much closer to the oviducts.

  5. 5

    In which situations is donor sperm insemination used?

    Model answer

    When the male partner produces no usable sperm at all, and when he carries a serious inherited condition that would be passed on.

  6. 6

    Why is donor sperm frozen and stored for a period before it is used?

    Model answer

    The quarantine allows the donor to be tested again for infections after enough time has passed for them to show up, and the sample is only released if those later tests are also negative.

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