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Kaplan Qbank USMLE



Author6 Posts
  #1

WHy are these pts infertile ... And a secondary question they asked ... a friend of mine told .. was that .. CAN INVITRO FERTILIZATION be used in these pts?

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... Idle hands are the DeVilS play ground ...

  #2

streak gonads....menopause before menarche...risk of ovarian dysgerminoma

Edited by kingusmle on 05/20/07 - 11:57 PM

  #3

i tHink i have heaard bt IVF in turners ..not pretty sure of it.....my guess is uterus is present so IVF can help..

  #4

Excerpt From NEJM
  • Infertility
    • Most patients are infertile, although spontaneous unassisted pregnancy has occurred. Therefore, the diagnosis should not be relied on as a birth control method.
    • In spontaneous unassisted pregnancy, the risk of having an infant with Turner syndrome or Down syndrome is increased. Risk of miscarriage also is high.
  • Assisted reproduction
    • Pregnancy has been achieved by means of fresh or frozen embryo transfer. Transfer of only one embryo at a time is recommended to avoid additional complications of twin pregnancies.
    • Prior to embryo transfer, a complete renal and cardiovascular evaluation is warranted, including echocardiography. Hypertension or other cardiovascular problems may complicate pregnancy, and careful follow-up care during pregnancy is needed. Thyroid status should also be assessed because hypothyroidism during pregnancy may be associated with a poorer outcome.
    • Although implantation and clinical pregnancy rates are similar to other women with ovarian failure, the miscarriage rate is high, probably because of uterine factors.
    • Caesarean delivery is usual and is possibly related to small pelvic outlet size.


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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #5

so means .. CAn IVF in pts with Turners

___________________
... Idle hands are the DeVilS play ground ...

  #6

yes u can but its a high risk pregnancy n can occur with pts who havent had an ovarian failure cos then a lot of complications do occur.

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."







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