Exam 3 - Chiropractic View of Infertility & Infertility and ART

Question 1

Infertility is defined as a failure to achieve conception by couples w/o contraception for how long?

Answer 1

1 year

if 35yrs = 6 months

Question 2

Chiropractic contributing factors to infertility

Answer 2

3 T’s

Question 3

how many drinks/day decreased female fertility

Answer 3

> 2 drinks/day

Question 4

it is recommended to stay under what amount of caffeine/day to stay at normal fertility levels?

Answer 4

250mg/day (like 1 cup of coffee, good luck)

Question 5

what is one of the most controllable/modifiable factors to decrease likelihood of infertility?

Answer 5

weight

Question 6

T/F Depression is slightly correlated to infertility

Answer 6

F - CLEAR CORRELATION between depression and infertility

Question 7

type of infertility: have never conceived

Answer 7

primary infertility

Question 8

type of infertility: have conceived at some time in the past, but now unable to

Answer 8

secondary infertility

Question 9

majority of female factor infertility

Answer 9

ovulatory dysfunction and tubal/peritoneal factors

Question 10

% of primary diagnosis of male factor for infertility

% of unexplained infertility

Answer 10

25%

20%

Question 11

3 categories of female infertility factors

Answer 11

Ovulatory
Pelvic
Cervical

Question 12

main female factor infertility (history)

Answer 12

in utero DES exposure
menstrual cycle
contraceptive history
prior pregnancies (outcomes)
drugs and meds
general health

Question 13

main male factor infertility (history)

Answer 13

congenital abnormalities
undescended testes
prior paternity
decreased frequency of shaving (low T)

Question 14

what % of female infertility is due to an OVULATORY factor?

Answer 14

40%

Question 15

IVF means…

Answer 15

In Vitro Fertilization

Question 16

removal of eggs from ovary, fertilizing them in lab, and replacing them back in uterus

Answer 16

IVF

Question 17

success % of IVF

Answer 17

39%

Question 18

The most important prognostic indicator for successful IVF

Answer 18

female age - >43 years = 2.4% live birth rate

Question 19

IVF - Indications

Answer 19

originally - tubal disease
male factor
decreased ovarian reserve
endometriosis

Question 20

segmental subluxations highly associated with infertility

Answer 20

Cranial
C1
C7
T9 & T10
T12
L4
Sacrum and Coccyx

Question 21

Cranial subluxation affects what function

Answer 21

pituitary gland

Question 22

C1 subluxation affects what two fertility factors

Answer 22

blood supply to pituitary

sympathetics/parasympathetics

Question 23

C7 subluxation affects what function

Answer 23

thyroid gland

Question 24

T9 and 10 affect what function

Answer 24

adrenal glands

Question 25

T12 subluxation affects which 3 functions (female)

Answer 25

Fallopian tube
Ovarian function
Uterine function

Question 26

T12 subluxation affects which 2 functions (male)

Answer 26

testicular function

penile function

Question 27

L4 subluxation affects which function (male)

Answer 27

prostate gland

Question 28

Sacral and Coccyx subluxations affect which 2 functions (female)

Answer 28

endometrium (endometriosis)

Cervix function

Question 29

healthy changes should be made AT LEAST how long before trying to conceive?

Answer 29

3 months to 1 year

Question 30

How much calcium/day is recommended as part of pre-conception nutrition

Answer 30

1,000 mg/day

Question 31

research has shown that more than ___mg of caffeine per day may reduce fertility by ___%?

Answer 31

300mg - 27%