Infertility

1
Infertility

• Incidence approximately 20 or 1 in 5 couples
• Primary
• Secondary
• Financial
• Emotional Roller Coaster

2
Male Factor

• 30-40
• Abnormalities of the Sperm
• Abnormal Ejaculation
• Abnormal Erections
• Semen Test first dx test done during eval

3
Female Factor

• 40-50
• Disorders of Ovualation
• Disorders of fallopian tubes, cervix
• Endocrine Abnormalities

4
Repeated Pregnancy Loss

• Immunologic Response
• Environmental Agents
• Infection strep B
• Fetal defects
• Unfriendly Hostess

5
Diagnostic Tests

• Least invasive, least expensive
• BBT and Cervical Mucus pg902
• Ovulation Prediction Tests
• Ultrasound
• Endometrial Biopsy
• Hystersalpingogram
• Laparoscopy, Hysteroscopy

6
Reproductive Techniques

• Donor/Partner Intrauterine Insemination
• GIFT (gamete intrafallopian transfer)
• TET/ZIFT (tubal embryo transfer)
• Microsurgical Assisted Fertilization

7
Responses to Infertility

• Loss of Dream
• Loss of Sexual Pleasure and Desire
• Financial and Physical Commitment
• Probability of Success

8
Nursing Interventions

• Offer Support
• Helping clients cope with loss
• Increase Control
• Reduce Isolation, groups