Epistemis

Clinical Biochemistry of Infertility: Pathophysiology, Diagnosis and Biomarkers

Biochemistry · Basic Sciences

How it begins

Infertility is a complex disorder with a metabolic, genetic, immunological and endocrine basis. This treatise exhaustively exposes the signaling mechanisms, the biochemical pathways of steroidogenesis, the gametic function and the diagnostic techniques in the assisted reproduction laboratory.

What it covers

  1. Endocrinology of the Hypothalamic-Pituitary-Gonad (HHG) Axis
  2. Oocyte Biochemistry and Regulation of the Ovarian Reserve
  3. · The Theory of Two Cells, Two Gonadotropins
  4. Biochemical Physiology of Sperm and Seminal Plasma
  5. · Molecular Mechanism of Training
  6. Advanced Spermogram and Seminal Biochemical Markers
  7. · Biochemical Markers of Accessory Glands
  8. · Sperm DNA Fragmentation (SDF)
  9. Female Endocrine-Metabolic Dysfunctions: PCOS and Endometriosis
  10. · Biochemical Pathophysiology of Endometriosis
  11. Male Endocrine Dysfunctions and Hypogonadism
  12. · Molecular Defects in Leydigian Steroidogenesis
  13. Immunological Factors of Infertility
  14. · Antisperm Antibodies (ASA)
  15. · Natural Killer (NK) Cells: Peripheral vs. Uterine
  16. Pathophysiology of Implantation and Receptive Endometrium
  17. Biochemistry of Oxidative Stress and Mitochondrial Dysfunction
  18. · Antioxidant Defense Systems in the Reproductive Tract
  19. Genetics and Epigenetics of Infertility
  20. · Y Chromosome Microdeletions
  21. · Mutations in the CFTR Gene and Agenesis of the Vas Deferens
  22. Hormonometry and Immunoassays in the Reproduction Laboratory
  23. · Hook Effect (Prozone Effect)
  24. · Interferences by Heterophile Antibodies and Biotin
  25. Ovarian Reserve Tests and Folliculogenesis Dynamics
  26. · Anti-Müllerian Hormone (AMH) as a Biomarker
  27. · Day 3 Classic Endocrine Evaluation
  28. Evaluation of the Recurrent Pregnancy Loss Factor (PGR)
  29. · Hereditary Thrombophilias: Molecular Physiopathology
  30. Biomarkers in Assisted Reproduction Techniques (ART)
  31. · Biochemistry of Follicular Fluid
  32. · Non-Invasive Metabolomics of Spent Culture Medium (SCM)
  33. Unexplained infertility and Endocrine Disruptors
  34. · Bisphenol A (BPA) and its Molecular Effects
  35. · Phthalates and Leydig Cell Dysfunction
  36. Ovarian Stimulation Protocols and their Biochemical Monitoring
  37. · Pituitary Blockade Systems: Agonists vs. Antagonists
  38. · Pathophysiology of Ovarian Hyperstimulation Syndrome (OHSS)
  39. Advanced Sperm Function Tests
  40. · Evaluation of the Acrosome Reaction
  41. · Hyaluronic Acid (HBA) Binding Assay
  42. Clinical Diagnostic Algorithms and Multidisciplinary Integration
  43. · Female Infertility Diagnosis Algorithm
  44. · Male Infertility Diagnosis Algorithm

The complete study guide is in the app

This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.

Subject
Biochemistry
Category
Basic Sciences
Type
Study Guide
Sections
44
Reviewed
2026-08-02
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