luteal phase of ovarian cycle - correct answer ✔-LH predominates during
days 14-28
-LH stimulates the secretion of progesterone by the corpus luteum
-is responsible for the uterine secretory phase
follicular phase of ovarian cycle - correct answer ✔FSH predominates during
days 1-13, the ovarian follicles develop and estrogen secretion by follicles is
stimulated
FSH promotes the development of a follicle that secretes estrogen.
An estrogen spike leads to a surge in LH and ovulation around day 14 in the
28-day cycle.
ovulation phase of ovarian cycle - correct answer ✔Day 14
,1. Peak in LH induces ovulation
2. LH peak + FSH slight rise produces cascade that stimulates ovulation
(Oocyte release from mature follicle)
primary infertility - correct answer ✔inability to conceive after one year of
engaging in unprotected sex
secondary infertility - correct answer ✔inability to conceive after a previous
pregnancy
5 factors to consider for infertility workup - correct answer ✔1. Ovulatory
2. Uterine/ tubal
3. Male factor
4. Cervical factor
5. Peritoneal factor (Endometriosis)
postcoital test - correct answer ✔examines the interaction between sperm
and cervical mucous; sperm agglutination, and reduced motility suspicious for
antisperm antibodies
spinnbarkeit sign - correct answer ✔The ability for the cervical mucus to
stretch between the fingers during ovulation, which facilitates sperm
movement into the uterus
Birth control- Diaphram? - correct answer ✔Diaphragm must stay in place 6
hours after intercourse. They are also fitted so must be refitted
if you lose or gain a significant amount of weight.
, birth control pill - correct answer ✔A hormonal pill taken orally to prevent
monthly release of ovum (ovulation)
intrauterine device (IUD) - correct answer ✔contraceptive device inserted
into the uterus that prevents implantation of a fertilized egg
Depo-Provera injection - correct answer ✔A form of contraception
administered intramuscularly, approximately once every 12 weeks.
intramuscular injection of progesterone every 3 months that changes uterine
lining and ovum maturation
Contraindicated for use greater than 2 years d/t it causing decrease in bone
density
Nexplanon MOA - correct answer ✔-ovarian suppression
-thickening of cervical mucous
-creating an unfavorable uterine environment for implantation
Nexplanon - correct answer ✔a hormone implant with a single progestin-
releasing rod that is effective for 3 years
Ortho Evra Patch - correct answer ✔A thin, peach-colored patch that sticks
to the skin and time releases synthetic estrogen and progestin into the
bloodstream to inhibit ovulation, increase cervical mucus, and render the
uterus inhospitable; also referred to as the "patch."
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