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ACOG Infertility ACOG 2024 Literature Quiz Questions With Complete Solutions

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ACOG Infertility ACOG 2024 Literature Quiz Questions With Complete Solutions

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  • December 10, 2024
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ACOG Infertility ACOG 2024 Literature Quiz Questions
With Complete Solutions
Define infertility and subsequent infertility evaluation (timing) - (answers)Women older than 35
years should receive an expedited evaluation and undergo treatment after 6 months of failed
attempts to become pregnant or earlier, if clinically indicated.




In women older than 40 years, more immediate evaluation and treatment are warranted.



If a woman has a condition known to cause infertility, the obstetrician-gynecologist should offer
immediate evaluation.



For infertility assessment: a targeted physical examination of the female partner should be
performed with a focus on vital signs and include: - (answers)a thyroid, breast, and pelvic
examination.



For the female partner, tests will focus on - (answers)ovarian reserve, ovulatory function, and
structural abnormalities



Infertility affects what percent of couples: - (answers)15%



Indications for immediate infertility evaluation include the following: - (answers)-
oligomenorrhea or amenorrhea

- known or suspected uterine, tubal, or peritoneal disease

- stage III or stage IV endometriosis

- known or suspected male infertility



Basic infertility evaluation components - (answers)Female:

, 2


History, Physical, Prepregnancy evaluation



Additional evaluation for etiology of infertility:

- diminished ovarian reserve (AMH

or basal FSH and estradiol

or Transvaginal US with astral follicle count)

- Ovulatory dysfunction (ovulatory function test (serum progesterone measurement)

- Tubal factor (HSG, Hysterosalpingo-constrast sonography)

- Uterine factor ( Transvaginal US, sonohysterography, hysteroscopy, HSG)



Male:

history and semen analysis



Key historical factors to elicit from the patient undergoing infertility evaluation include the
following - (answers)-duration of infertility and results of any previous evaluation and treatment



-menstrual history (including age at menarche, cycle interval, length, and characteristics;
presence of molimina [mild premenstrual symptoms and changes]; and onset and severity of
dysmenorrhea), signs of ovulation including positive ovulation tests, cervical mucus changes, or
biphasic basal body temperatures



-pregnancy history (gravidity, parity, time to preg- nancy, fertility treatments, pregnancy
outcome, delivery route, and associated complications)



-previous methods of contraception



- coital frequency and timing

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