RESUMO
The causes of infertility can be divided into seven categories. In older couples, valuable time can be lost if evaluation is delayed. An orderly diagnostic approach assures that no diagnosis is overlooked. Many of the causes of infertility are amenable to therapy.
Assuntos
Infertilidade Feminina/etiologia , Infertilidade Masculina/etiologia , Anovulação/complicações , Doenças das Tubas Uterinas/complicações , Feminino , Humanos , Infertilidade Feminina/diagnóstico , Infertilidade Masculina/diagnóstico , Masculino , Doenças Uterinas/complicaçõesAssuntos
Abdome , Endoscopia , Doenças dos Genitais Femininos/diagnóstico , Adulto , District of Columbia , Feminino , Hospitais Gerais , Humanos , LaparoscopiaAssuntos
Anovulação/induzido quimicamente , Anticoncepcionais Orais/efeitos adversos , Adulto , Anovulação/tratamento farmacológico , Anticoncepcionais Orais/farmacologia , Anticoncepcionais Orais Combinados/efeitos adversos , Feminino , Humanos , Mestranol/efeitos adversos , Noretindrona/efeitos adversos , Noretinodrel/efeitos adversos , Prednisona/uso terapêuticoAssuntos
Glândulas Suprarrenais/efeitos dos fármacos , Glândulas Suprarrenais/fisiopatologia , Epinefrina/farmacologia , Hirsutismo/metabolismo , Hidrocortisona/biossíntese , Hidrocortisona/metabolismo , Adulto , Feminino , Humanos , Hidrocortisona/sangue , Masculino , Taxa de Depuração Metabólica/efeitos dos fármacosAssuntos
Amenorreia , Transtornos do Desenvolvimento Sexual , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
PIP: This paper emphasized the syndrome of anovulation and infertility following oral contraceptive therapy in patients with previously regular menses. Case histories of 2 successfully treated patients are given. The first was 22-years-old, gravida 0, and had taken Enovid for almost a year following marriage. Physical and histological findings were normal. Withdrawal flow but not ovulation followed oral administration of 10 mg of 6-alpha methyl 17-acetoxyprogesterone daily for 5 days. Ovulation began after prednisone, 5 mg twice daily, was given for 1 month. Several months later she conceived and has had a normal delivery. The other patient, a 23-year-old gravida 0, used Enovid for 2 years. After cessation her previously regular menstrual periods became very irregular and complete amenorrhea had lasted 4 months. Prednisone, 5 mg twice a day, restored ovulation in 1 month. She conceived the following month. Relative frequency of anovulation following oral contraception is believed greater than suspected. Patients who have not yet completed their families should be warned of the risk and contraceptives should not be used to treat infertility to produce a "rebound" effect.^ieng
