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Fertility Quiz

November 2002

Question 1

A man is found to have the following semen analysis:

Vol 3 mls (RR 3-6)
Viscosity Normal
Motility 30% rapid progression
5% slow progression
65% non motility (RR < 50%)

Abnormal morphology 80% (RR <70%)
Sperm count 12 x 106/ml (RR >20x106/ml)

He and his partner have been trying to conceive a pregnancy for 12 months.

Which of the following is most correct:

a) The chance of pregnancy over the next 12 months is approximately 35% if no treatment is given.

b) The chance of pregnancy occurring will be significantly increased if he wears boxer shorts rather than jocks.

c) The chance of pregnancy would be improved by ligating the man's varicoele.

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Question 2

A 32 year old woman has been trying to conceive for 12 months. A laparoscopy shows mild endometriosis with normal ovaries and no tubal obstruction. Which of the following is correct?

a) Medical treatment of endometriosis will improve her chance of conception.

b) This degree of endometriosis is not associated with a reduced expectation of pregnancy.

c) Laser treatment of the endometriosis at laparoscopy will substantially improve her chance of conception.

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Question 3

Which of the following biochemical abnormalities is most often associated with polycystic ovary syndrome?

a) a serum luteinising hormone of 3 iu/l (RR 2-8)

b) a fasting serum insulin level of 26 mu/ml (RR <10)

c) a sex hormone binding globulin level of 60 nmol/l (RR 15-90)

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