{"id":134,"date":"2017-03-23T18:37:59","date_gmt":"2017-03-23T18:37:59","guid":{"rendered":"http:\/\/papergp.com\/index.php\/womens-health\/subfertility\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"subfertility","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/womens-health\/subfertility\/","title":{"rendered":"Subfertility"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Differential diagnosis<\/h4>\n<ul>\n<li>Ovulation problems &#8211; PCOS<\/li>\n<li>PID &#8211; prev STI, PV discharge<\/li>\n<li>Fallopian tube dysfunction<\/li>\n<li>Lifestyle &#8211; smoking, alcohol<\/li>\n<\/ul>\n<\/div>\n<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>General\n<ul>\n<li>duration of trying to conceive<\/li>\n<li>frequency of intercourse<\/li>\n<li>smoking, alcohol<\/li>\n<li>previous STIs<\/li>\n<\/ul>\n<\/li>\n<li>Female\n<ul>\n<li>periods<\/li>\n<li>previous pregnancies<\/li>\n<li>previous abdominopelvic surgery<\/li>\n<\/ul>\n<\/li>\n<li>Male\n<ul>\n<li>previous children<\/li>\n<li>undescended testes<\/li>\n<li>varicocele,<\/li>\n<li>scrotal surgery<\/li>\n<li>infections &#8211; mumps, orchitis<\/li>\n<\/ul>\n<\/li>\n<li>Examination\n<ul>\n<li>BP, weight, height<\/li>\n<li>abdo, genitalia, acne\/hirsutism<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; progesterone (7d before period), LH\/FSH\/Oestradiol (D2-D7), Rubella, HIV, HBV, HCV, TFTs<\/li>\n<li>Chlamydia\/Gonorrhoea urine NAAT<\/li>\n<li>Pelvic USS<\/li>\n<li>Cervical screening<\/li>\n<li>Semen analysis (+HBV, HCV and HIV of male)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>8 of 10 will conceive within one year. Various reasons for difficulties conceiving &#8211; if lifestyle measures fail, can refer to fertility specialist<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle &#8211; smoking cessation, alcohol reduction, healthy diet, weight loss, exercise<\/li>\n<li>Sexual intercourse every 3 days\n<ul>\n<li>avoid body temperature charts<\/li>\n<\/ul>\n<\/li>\n<li>Folic acid<\/li>\n<li>Abnormal semen sample\n<ul>\n<li>repeat after 3 months<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety-net\n<ul>\n<li>Refer to fertility clinic if not pregnant after 1 year and investigations are done (include details of both individuals if referring a couple)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Ovulation problems &#8211; PCOS PID &#8211; prev STI, PV discharge Fallopian tube dysfunction Lifestyle &#8211; smoking, alcohol Data gathering General duration of trying to conceive frequency of intercourse smoking, alcohol previous STIs Female periods previous pregnancies previous abdominopelvic surgery Male previous children undescended testes varicocele, scrotal surgery infections &#8211; mumps, orchitis Examination BP, &hellip; <a href=\"https:\/\/papergp.com\/index.php\/womens-health\/subfertility\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Subfertility<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":122,"menu_order":105,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-134","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/134","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=134"}],"version-history":[{"count":8,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/134\/revisions"}],"predecessor-version":[{"id":2547,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/134\/revisions\/2547"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/122"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=134"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}