Chapter: Obstetric and Gynecological Nursing : Infection of the Female Reproductive Organs

| Study Material, Lecturing Notes, Assignment, Reference, Wiki description explanation, brief detail |

Infertility

Infertility is defined as the inability to conceive and carry a pregnancy to viability after at least 1 year of regular sexual intercourse with out contraception.

Infertility

 

Infertility is defined as the inability to conceive and carry a pregnancy to viability after at least 1 year of regular sexual intercourse with out contraception.

 

Primary infertility- is an inability to conceive and carry a pregnancy to viability with no previous history of pregnancy carried to alive birth.

 

Secondary infertility- is an inability to conceive and carry a pregnancy to alive birth following one or more successful pregnancies.

 

Although often used interchangeably the term infertility and sterility are not synonymous. Sterility denotes a total and irreversible inability to conceive. Broadly defined infertility includes the inability to carry a pregnancy to viability.

 

Causes of infertility

 

Female

 

·        Vaginal - abnormalities

 

-                  infectious

 

-                  highly acidic vaginal PH

 

 

·        Cervical - Hostile environment (insufficient oestrogen or infection)

 

-                  Incompetent cervix

 

-                  Hostile environmental for implantation and survival of blastocyst

 

·        Tubal

 

-                  Adhesions

 

-                  Scar tissue due to PID

 

-                  Endometriosis

 

·        Ovarian - an ovulation

 

-                  Irregular or infrequent ovulation

 

-                  Secretary dysfunction

 

-                  Inadequate luteal phase

 

 

Male

 

·        Anatomical abnormalities / congenital factor

 

·        Inadequate sperm production / Maturation

 

·        Varicose

 

·        Testicular inflammation

 

·        Heat exposure

 

·        Sexually transmitted disease

 

·        Radiation exposure

 

·        Stress

 

·        Certain drugs

 

·        Inadequate motility of sperm

 

·        Blockage of sperm in male reproductive tract

 

Diagnosis

 

·        History and physical examination

 

·        Semen analysis

 

·        The postcoital test

 

·        Basal body temperature recording

 

·        Serum progesterone test

 

·        Endometrial Biopsy

 

·        Hysterosalpingogram

 

·        Laparoscopy and culdoscopy

 

Treatment- On a diagnosis of the cause of the infertility, it hasbeen made to involve the male partner, the female partner, or both may be initiated.

 

Study Material, Lecturing Notes, Assignment, Reference, Wiki description explanation, brief detail


Copyright © 2018-2020 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.