Infertile Couple

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Infertile Couple

• Debbie Amason, RN, MS

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• Definition
• Primary
• Secondary
• Statistics

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Male Factors

• Sperm count
• Obstruction
• Ejaculation problems

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Female factors

• Anovulation
• Transport
• Uterine
• Cervical
• Vaginal
• unexplained

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Assessment

• Why do couples want?
• History
• Men
• women

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Testing

• What involved
• Semen analysis
• BBT
• Test strip
• Cervical mucosa
• Post coital

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Ultrasonography

• Sonohysterography
• hysterosalpingography

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Surgical

• Endometrial biopsy
• Hysteroscopy
• laparoscopy

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Management

• Sperm count and motility
• Infection
• Hormone therapy
• surgery

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Assisted reproductive techniques

• Artificial insemination
• IVF
• GIFT
• ZIFT
• Surrogate embryo transfer
• Blastomere analysis

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Alternatives

• Surrogates
• Adoption
• Agency
• International
• Private
• Childfree living