Infertility.Abortion.Perry.Sp19TF.docx - INFERTILITY Perry Chapter 5 pages 96-103 Tamara Ford Infertility failure to achieve pregnancy after 12 months

Infertility.Abortion.Perry.Sp19TF.docx - INFERTILITY Perry...

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INFERTILITY: Perry: Chapter 5: pages 96-103 Tamara Ford Infertility: failure to achieve pregnancy after 12 months or more of unprotected intercourse when woman < 35, for 6 months when woman 35 or greater Approx. 1in 4 couples in US of reproductive age are infertile Many factors affect: Can be male or combined male/female @ 40% rate, with 20% unexplained Framework for nurses assisting infertile persons: 1. Provide accurate info 2. Help identify & treat causes 3. Provide emotional support 4. Guide & educate those who fail to conceive to explore other forms of treatment. Help couples to understand other options: a. Adoption b. Donor eggs/semen c. Surrogacy d. Other alternatives, such as ART Initial investigation required: 1. Workup and assessment should start with the easiest & least invasive 2. Both physical & psychosocial workup is needed. 3. MUST involve both partners. 4. High level of motivation is needed 5. Nurse obtains & monitors results of dx testing 6. Religious and cultural factors may restrict 7. Couple may feel effect on intimacy & attachment to each other 8. Fertility problem is VERY stressful, emotional, & personal. 9. Teach couple factors about most fertile times, what influences fertility Assess woman's fertility: Evaluate ovulation factors Use basal body temp records Hormonal assessments, which includes FSH, LH, Progesterone, prolactin, TSH Endometrial biopsy Evaluation of cervical factors
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