Dr. Meera, a gynaecologist, is counselling a couple who have been trying to conceive for two years without success. During investigation, it was found that the female partner has a complete blockage of both fallopian tubes due to a previous pelvic infection. Her ovaries are fully functional and produce healthy oocytes each month. The male partner has normal semen parameters. Dr. Meera explains the structure and function of the female reproductive tract, particularly the role of the fallopian tube in natural fertilisation, and recommends an appropriate Assisted Reproductive Technology (ART).
Read the following passage and answer the questions that follow.
Dr. Meera, a gynaecologist, is counselling a couple who have been trying to conceive for two years without success. During investigation, it was found that the female partner has a complete blockage of both fallopian tubes due to a previous pelvic infection. Her ovaries are fully functional and produce healthy oocytes each month. The male partner has normal semen parameters. Dr. Meera explains the structure and function of the female reproductive tract, particularly the role of the fallopian tube in natural fertilisation, and recommends an appropriate Assisted Reproductive Technology (ART).
(i) Name the specific region of the fallopian tube where fertilisation normally occurs. What structural feature of the fallopian tube facilitates the movement of the fertilised egg towards the uterus? (1+1=2)
(ii) Since both fallopian tubes are blocked, Dr. Meera recommends a specific ART procedure. Name the ART technique she would most appropriately recommend for this couple, and justify your choice over GIFT (Gamete Intra-Fallopian Transfer). (1+1=2)
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(i) [2 marks — 1+1]
Value Point 1 (1 mark):
Fertilisation normally occurs in the ampullary region of the fallopian tube (oviduct).
[Also accept: ampulla / ampullary-isthmic junction]
Value Point 2 (1 mark):
The fallopian tube is lined with ciliated epithelium; the beating of cilia (along with peristaltic muscular contractions of the tube wall) propels / moves the fertilised egg (zygote) towards the uterus.
[Accept either cilia OR peristalsis for 1 mark; both together also acceptable for 1 mark]
(ii) [2 marks — 1+1]
Value Point 1 (1 mark):
Dr. Meera would recommend IVF-ET (In Vitro Fertilisation followed by Embryo Transfer) / Test Tube Baby technique.
[Also accept: ZIFT — Zygote Intra-Fallopian Transfer — as a second acceptable ART if the student justifies it differently; however, IVF-ET with uterine transfer is the most appropriate answer given bilateral tubal blockage]
Value Point 2 (1 mark — Justification):
GIFT (Gamete Intra-Fallopian Transfer) requires at least one functional / patent fallopian tube, as gametes are transferred into the tube for fertilisation to occur naturally inside the tube.
Since BOTH fallopian tubes of this patient are completely blocked, GIFT is not possible / feasible.
In IVF-ET, fertilisation is performed outside the body (in vitro) and the resulting embryo is transferred directly into the uterus (ET = Embryo Transfer), bypassing the need for functional fallopian tubes entirely.
[Award 1 mark for a clear, correct biological justification that identifies the requirement of a patent tube for GIFT and/or the bypass mechanism of IVF-ET]