Infertility 1
Infertility 1
Infertility 1
A. Assessment
1. Common diagnostic studies to detect physiological factors associated with infertility
a. Female
1. Basal Body Temperature (BBT), or resting body temperature
Obtained by the woman taking her oral temperature each day prior to arising
from bed and graphing the results on a month long graph
Sudden dip occurs the day prior to ovulation and is followed by a rise of .5 to 1
degree F, which indicates ovulation; this rise will remain until menstruation
begins
Fertility awareness: includes monitoring the BBT and cervical mucus changes
to detect ovulation
2. Serum Hormone Testing: venous blood is drawn from infertile women to assess
levels of FSH and LH, which are indicators of ovarian functions
3. Postcoital exam
Exam that occurs 8-12 hours’ post- intercourse, 1or 2 days before expected
ovulation
Secretions are examined for:
Signs of infection
Number of active and non-motile spermatozoa
Sperm- mucus interaction
Consistency of cervical mucus
4. Endometrial biopsy
Obtaining an endometrial tissue sample for examination
5. Hysterosalpingogram (HSG)
Detects uterine anomalies
6. Laparoscopy
c. Male and female partner: anti- sperm antibody evaluation of cervical mucus and ejaculate
are tested for agglutination, an indication that secretory immunological reactions are occurring
between cervical mucus and spermatozoa.
2. Hormonal therapy
3. Medications
4. Sperm washing for intrauterine insemination
5. Intrauterine insemination is a form of artificial insemination
6. In vitro insemination (IVF)
7. Gamete intra fallopian transfer (GIFT)
8. Tubal embryo transfer (TET)
9. Zygote intra fallopian transfer (ZIFT)
D. Evaluation-
1. The couple’s knowledge is increased regarding:
Diagnostic studies
Infertility problem
Infertility treatment options
2. Clients experience decreased anxiety regarding infertility
3. The clients share their feelings openly
4. The clients make an informed decision to pursue or not pursue treatment for fertility