Infertility Infertility: Persented By:-Mr. Rahul Kumar Jaga 1 Year M.Sc. Nursing
Infertility Infertility: Persented By:-Mr. Rahul Kumar Jaga 1 Year M.Sc. Nursing
Infertility Infertility: Persented By:-Mr. Rahul Kumar Jaga 1 Year M.Sc. Nursing
Persented by:-
Mr. Rahul Kumar Jaga
1st Year M.Sc. Nursing
DEFINITION
“Infertility can be described as the inability to become pregnant
,maintain a pregnancy or carry a pregnancy to live birth . ”
ACCORDING TO WHO
“ It is a disease of reproductive system defined by the failure to
achieve clinical pregnancy after 12 month or more of regular
unprotected sexual intercourse
Types
Primary = infertility denotes those
patient who have never conceived .
Secondary = infertility indicate
previous pregnancy but failure to
conceive subsequently.
CAUSES OF INFERTILITY
CAUSES OF INFERTILITY the responsible causes percentage ovulatory factor
(30 – 40%), tubal and peritoneal factor (25- 35%),and endometriosis (1- 10%)
OVULATION FACTOR=
1 ANOVULATION OR OLIGOOVULATION
2 LUTEAL PHASE DEFECT
3 LUTENISED UNRUPTURED FOLLICULAR SYNDROME (TRPPED OVUM)
4 DECREASE OVARIN RESERVE
DIRECT
LAPROSCOPY
CONCLUSIVE
PREGNANCY
MANAGEMENT
1. GENERAL MANAGEMENT
PSYCHOTHERAPY
REDUCTION OF WEIGHT IN OBECITY OR IMPROVE THE
WEIGHT IF LOW.
MEDICAL MANAGEMENT
STIMULATION OF OVULATION
FSH
CLOMIPHENE CITRATE
HCG
GnRH
CORRECTION OF BIOCHEMICAL ABNORMALITIES
METFORMIN (HYPERINSULINAEMIA)
DEXAMETHASONE ( ANDROGEN EXCESS)
BROMOCRIPTINE ( PROLACTIN RAISED)
SUBSTITUTION THERAPY
TYROXIN (HYPOTHYRODISM)
ANTIDIABETIC DRUGS
SURGICAL MANAGEMANT
ovarian
laser vaporisation
Surgical removal of ovarian or adrenal tumour
Tubal and peritoneal factors
laprotomy
ballon tuboplasty .
fimbrioplasty .
Tubotubal anastomosis
OTHERS
Myomectomy
Metroplasty
Ivf
Gift
Zift
PREVENTION
Avoiding stress as it changes hormonal function.
Avoiding substance abuse& alcohol use.
Make a proper sexual relationship with her
partner .
IF the female don’t conceive ,take adequate
treatment
Avoid false contraceptive and any medication
practice.
SUMMARY
In today’s microteaching we have
discussed about the various key
terms, definition of female
infertility, its causes, the various
investigations used for diagnosis
and the management & prevention
of female infertility.
CONCLUSION
At last I conclude my topic by saying that
infertility may have profound psychological
effects. In many cultures, inability to conceive
bears a stigma. But today science has made it
possible to treat almost all causes of
infertility. Being a nurse, we can play a vital
role in it by counseling the couple. We can tell
them about the various preventive measures
and management of infertility.
BIBLIOGRAPHY
VG Padubidri & SN Daftary , ‘’Howkins &
Bourne Shaw’s Textbook of Gynecology’’,
Fifteenth Edition, Elsevier India Private
Limited, 2011, Pp 200-209
D.C.Dutta, ‘’Textbook of Gynecology’’,
Fifth Edition, New central book agency (P)
Ltd, Kolkata, 2006, Pp 220-226
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