Medicine an Surgery notes

Apr 24th, 2015
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INFERTILITYDefinitions Infertility: The inability to achieve conception (regardless of cause) despite one year of frequent unprotected intercourse.Fertility: The capacity to reproduce or the state of being fertileSterility: Implies an intrinsic inability to achieve pregnancyPrimary infertility: Applies to those who have never conceivedSecondary infertility: Designates those who have conceived at some time in the past. Fecundity: The probability of achieving a live birth in 1 menstrual cycle. Fecundability: The likelihood of conception per month of exposure. EpidemiologyInfertility affects approximately 10-15% of reproductive-aged couples.The fecundability rate in the general reproductive-aged population isfairly constant and is approximately 22% per month.In normal fertile couples having frequent intercourse, the chances of pregnancy are estimated to be approximately 20% per month.The estimated fecundity rate is 15-18 % per month, representing a cumulative pregnancy rate of 90% per yearFecundability rates are higher in younger women and lower in older womenThe decline in fecundability begins in the early thirties and progresses rapidly in the late thirties and early fortiesTherefore as a woman's age increases, the incidence of infertility also increasesSterility affects 1-2% of couples. In some cases the choice of prior contraceptive method may have contributed to infertility, as with the use of some intrauterine devices (IUDs); having an increased

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