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INFERTILITY and MISCARRIAGE .docx - PASSPORT MEDICAL...

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PASSPORTMEDICAL DIAGNOSIS/CONCEPTCLINICAL MANIFESTATIONINFERTILITYThe inability to conceive after at least 1 year of regularunprotected sexPrimary infertility: tried for at least one year and cannot getpregnantSecondary infertility: couples who have been able to getpregnant at least once, but now they cannotThe risk for infertility beginsaround the ageof 30 forwomenBoth genders: Chronic disease, genital infections, andenvironmental toxin affect fertilityFemale: Ovarian factors, tubal and peritoneal factors, uterinefactors, vaginal-cervical factors, other factorsProblem with ovulation, the fallopian tubes, or uterus orcervix conditions (endometriosis)Male: hormonal disorders, testicular factors, and factorsassociates with sperm transport, idiopathic male infertilitySPONTANEOUS ABORATIONNatural loss of pregnancy before 20 weeks of gestationCauses: endocrine abnormalities(insulin-dependentdiabetes mellitus), maternal infection,uterineabnormalities(endometriosis, uterine fibroids),fetalchromosomal abnormalitiesLate miscarriage cause:advanced age,nutrition status,reproductive tract abnormalities, obesity,and stress,cervicalinsufficiency: structural weakness of cervical tissueTypes: opening and closing of the cervix1.Complete abortion:all products of conception (POC)are expelled2.Incomplete abortion:some of POC is retained3.Inevitable abortion:cervix is open and pregnancy losscannot be prevented4.Infected (septic) abortion: endometrium and POCINFERTILITY1 year of regular unprotected sex and no pregnancy(35 and younger)6 months of regular unprotected sex (35 years andolder)SPONTANEOUS ABORTIONUterine bleedingUterine contractionAbdominal pain (threat for miscarriage until provenotherwise)Before 6 weeks of pregnancyHeavy menstrual flow6-12 weeks:Moderate discomfort and blood lossAfter 12 weeksSevere pain like that of labor because fetus is beingexpelled

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Term
Spring
Professor
N/A
Tags
incomplete abortion, Moderate discomfort

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