Infertility Infertility: Persented By:-Mr. Rahul Kumar Jaga 1 Year M.Sc. Nursing

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INFERTILITY

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

 TUBAL AND PERITONEAL FACTORS


 UTERINE FACTOR
 CERVICAL FACTOR
 VAGINAL FACTORS
INVESTIGATION OF
INFERTILITY

HISTORY
PHYSICAL EXAMINATION
OVARIAN FACTORS
INDIRECR
MENSTURAL HISTORY
EVALUATION FOR PERIPHERAL AND ENDOGENOUS CHANGES
URINE LH
USG

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
www.slideshere.com

THANKING
YOU

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