Two years and no baby

Two years and no baby

1. Male reproductive

   • Anatomy
   • Spermatogenesis

2. Female reproductive

   • Anatomy
   • Female Menstrual Cycle

3. Pathophysiology of infertility

   • Causes of male
     • Abnormal sperm production or function
     • Problems with the delivery of sperm
     • Overexposure to certain environmental factors
   • Causes of female

4. Investigations of infertility

   • Female
     • History and physical examination
     • Ovulation testing
     • Hysterosalpingography
     • Ovarian reserve testing
     • Other hormone testing
     • Laparoscopy
   • Male
     • History and physical examination
     • Semen analysis
     • Transrectal and scrotal ultrasound
     • Testicular biopsy
     • Genetic testing

5. Medications for ovulation

   • Clomiphene Citrate
   • Gonadotropines & GnRH Agonists
   • Insulin Sensitizing Agents
   • Aromatase inhibitors (Femara or letrozole)

6. Management of infertility

   • Male
     • Surgery
     • Altering lifestyle factors
     • Medications
     • Sperm retrieval
   • Female
     • Stimulating ovulation with fertility drugs
     • Intrauterine insemination (IUI)
     • Surgery to restore fertility

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