Infertility—no conception with unprotected sex for at least 12 months. Common factors—decreased sperm,
ovulation DOs, tubal occlusions, and endometriosis. Meds used increase risk of multiple births >
25% Assessment (p1
...
Infertility—no conception with unprotected sex for at least 12 months. Common factors—decreased sperm,
ovulation DOs, tubal occlusions, and endometriosis. Meds used increase risk of multiple births >
25% Assessment (p13) Age, duration of infertility, OB hx (spontaneous abortions), Medical hx,
surgical hx, sexual hx (coitus frequency, # past partners, hx STIs), occupational/environmental
exposure risk, provide infor on assisted reproductive therapies (in vitro fert., embryo transfer,
intrafallopian gamete transfer, surrogate partenting, adoption)
Genetic counseling—Identify clts in need of genetic counseling. Exp. Clt has Sickle cell trait, history of
birth defects, <16 yrs and >35 yrs. Provide info on risk of occurrence, assist in construction of
family medical histories of several generations, provide emotional support(denial, anger, grief, guilt,
self blame), make referrals to support groups p13
Prenatal assessments thru—chorionic villus sampling, PUB (percutaneous umbilical blood sampling), and
amniocentesis ---all have potential risks to fetus
Infertility Procedures:
Pelvic Exam—assess for vaginal or uterine anomalies
Hysterosalpinography—radiological check for patency of fallopian tubes, check for iodine and
seafood allergies.
Hysteroscopy—radiographic exam of uterus—defect, distortion, scar tissue
Laparoscopy—gas insufflation—visualize internal organs---general anesthesia used
Semen collection—used first, least invasive, 40% infertility RT men
Contraception Procedures
Vasectomy—infertility after approx. 20 ejaculations (1wk-several months)
Tubal ligation (salpingectomy)—from cutting, burning, or blocking
Hysterectomy—partial (uterus), complete (uterus, bilateral fallopian tubes and ovaries)
Contraception Assessment
BRAIDED—acronym for informed consent
B—benefits--advantages
R—risks--disadvantages
A—alternatives
I—inquires—clt ask questions
D—decisions
E—explanations—give info on selected method
D—documentation (info given U clts understanding)
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