Answer the following case study A couple living in the state of texas enlisted t
ID: 200385 • Letter: A
Question
Answer the following case study
A couple living in the state of texas enlisted the aid of an IVF clinic for their infertility. The husband, a forty year old accountant, was oligozoospermic, with occasional round spermatids seen in the ejaculate. His FSH and LH levels are high, but he is normally virilized man (e.g male deposition of facial hair, no erectile dysfunction). The wife, a 30 year old nurse practitioner, was a normally cycling female who had scarring of her Fallopian tubes due to untreated pelvic inflammatory disease when she was in her twenties. The couple had been trying to conceive for three years with no success. They are a Roman Catholic couple, commited to having a child that is genetically related to them.
1. What assisted reproductive technologies are available for this couple? Why did you choose these options?
2. What is the likely origin of the higher than normal levels of FSH and LH seen in the male?
3. What does the presence of round spermatids in his ejaculate suggest?
Explanation / Answer
Ans)
1. Assisted reproductive technology or Assisted reproductive treatment : It is refers to treatments used to assist people in achieving a pregnancy.
Depending on the cause of infertility, the following types of treatment may be suggested:
a. Ovulation induction
b. in-vitro fertilisation
c. artificial insemination
2. Increased serum FSH levels correlated with low and high sperm counts in male infertile patients.
loss of LH secretion in man associated with low plasma testosterone
3. Round spermatids found in the ejaculate of patients with high FSH levels.