A 36-year-old female patient presents to the reproductive medicine clinic for a follow-up appointment. Initial laboratory results are available and indicate diminished ovarian reserve, and her partner's semen analysis is within normal parameters. Which infertility options may be appropriate for this client?

Correct Answer: A

Rationale: Correct Answer: A - Donor oocytes Rationale: 1. Diminished ovarian reserve suggests poor egg quality or quantity. 2. Using donor oocytes can bypass the issue of diminished ovarian reserve. 3. This option offers a better chance of successful conception compared to other methods due to healthier eggs from the donor. Summary: - B: Ovulation induction with clomiphene citrate may not address the underlying issue of diminished ovarian reserve. - C: Follitropin injections stimulate the patient's own follicles, which may not be optimal in cases of diminished ovarian reserve. - D: In-vitro fertilization and embryo transfer may not be successful if the patient's eggs are of poor quality or quantity.

Correct Answer: B

Rationale: The correct answer is B because smoking has been proven to negatively impact male fertility by reducing sperm count, motility, and morphology. Nicotine and other harmful chemicals in cigarettes can damage sperm DNA and affect reproductive health. Choice A is incorrect as smoking actually decreases testosterone levels. Choice C is incorrect as smoking does have a significant impact on male reproductive health. Choice D is incorrect because smoking alone can still affect male fertility without the need for alcohol use.

Correct Answer: A

Rationale: The correct answer is A because intrauterine insemination (IUI) involves placing washed sperm directly into the uterus, increasing the chances of fertilization. This method bypasses potential obstacles in the reproductive tract, aiding sperm in reaching the egg. Choice B is incorrect because IUI is not primarily used to treat structural abnormalities in the uterus but rather to facilitate fertilization. Choice C is incorrect as IUI does not guarantee fertilization since other factors can still affect the success of conception. Choice D is incorrect because ovulation tracking is still important in IUI to ensure optimal timing for the procedure.

Correct Answer: B

Rationale: The correct answer is B: Progesterone injections support the uterine lining for implantation and pregnancy maintenance. Progesterone is essential for preparing the uterus for implantation and maintaining a pregnancy. After embryo transfer, progesterone helps thicken the uterine lining, making it more receptive to the embryo for successful implantation. Other choices are incorrect: A is incorrect because progesterone does not affect the number of eggs released in future cycles; C is incorrect because progesterone does not prevent ovarian cyst formation; D is incorrect because while progesterone can help alleviate some pregnancy symptoms, its primary role is in supporting the uterine lining for pregnancy.

Correct Answer: B

Rationale: The correct answer is B: To stimulate the release of an egg from the ovary. LH surge triggers ovulation, releasing the mature egg from the follicle. This is crucial for fertility. A is incorrect because progesterone maintains the uterine lining, not LH. C is incorrect as LH doesn't regulate progesterone during pregnancy, but plays a role in ovulation. D is incorrect as LH and FSH work together to regulate the menstrual cycle, not inhibit each other.