14.Infertility And Art2009.3.24

Infertility and Assisted Reproductive Technologies Tianjin Medical University General Hospital Obstetrics and Gynecology Department

content ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Definition ,[object Object],[object Object],[object Object]

[object Object],[object Object]

oocyte Normal ovulation Hypothalamus Pulsatile secretion of GnRH pituitary FSH LH positive feedback ovary Development productione of follicles ostrogen LH surge Maturation ovulation Corpus luteum progesterone

sperm Normal sperm production ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

Causes 原因 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Female Factors 女方因素 ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ovulatory dysfunction 排卵障碍 hypothalamus pituitary ovary

Pelvic factors 盆腔因素 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Male Factors 男方因素 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Both Male and Female Factors ,[object Object],[object Object],[object Object],[object Object],[object Object]

Basic evaluations ,[object Object],[object Object],[object Object],[object Object],[object Object]

The goals of infertility evaluation ,[object Object],[object Object],[object Object],[object Object]

History ,[object Object],[object Object]

Male infertility questionnaire ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Physical examination

Normal Values for Semen ( following 2 to 7day period of abstinence) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Endocrine evaluation ,[object Object],[object Object],[object Object],[object Object],hypothalamus pituitary testis

[object Object],[object Object],[object Object],[object Object],[object Object]

Female infertility questionnaire ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Female infertility questionnaire ,[object Object],[object Object]

Physical examination ,[object Object],[object Object],[object Object],[object Object]

ovarian functions detection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],sexual hormone assay

Basal body temperature(BBT) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Midluteal level of serum progesterone ,[object Object],[object Object]

Endometrial biopsy ,[object Object],[object Object],[object Object],[object Object]

Proliferative phase Luteal phase

Urinary LH testing ,[object Object],[object Object],[object Object]

Transvaginal ultrasonography ,[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object]

Clomiphene citrate ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Main Complication Of Induce ovulation

Correction of a luteal phase defect ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Investigation(2)

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment

Uterine ,[object Object],[object Object],[object Object],[object Object]

Tube ,[object Object],[object Object]

Test for tubal patency ,[object Object],[object Object],[object Object]

Hysterosalpingography ,[object Object],[object Object],[object Object]

HSG Free spill of dye from the distal ends of the tubes The dye in the peritoneal cavity after 24 h

Bilateral tubal occlusion Proximal part distal ends of the tubes

Laparoscopy ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment

Endometriosis of the Ovary Copyright Trehan UTERUS RIGHT OVARY SKIN OF THE PELVIS UTERUS ENDOMETRIOTIC CYST ON OVARY BOWEL LARGE OVARIAN CYST (CHOCOLATE CYST) UTERUS LEFT OVARY RIGHT OVARY ADHESIONS Copyright Trehan Copyright Trehan

Endometriosis interferes with fertility in a number of ways(1): ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],Endometriosis interferes with fertility in a number of ways(2 ):

Treatment ,[object Object],[object Object]

Assisted Reproductive Technologies (ART) 辅助生育技术 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Intrauterine insemination ( IUI) 人工授精 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

cervixs uterus sperm oocyte Intrauterine Insemination IUI Sperm preparation

In vitro fertilization –embryo transfer IVF-ET

Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

IVF procedure(1) ,[object Object],[object Object],[object Object],[object Object]

Ovarian stimulation ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],IVF procedure(2)

[object Object],[object Object],[object Object],IVF procedure(3)

Culture of Fertilized Eggs in the Laboratory ,[object Object],[object Object]

[object Object],[object Object],[object Object],IVF procedure(4)

Outcome of IVF ,[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object]

Other techniques in IVF ,[object Object],[object Object],[object Object]

14.Infertility And Art2009.3.24

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14.Infertility And Art2009.3.24