Infertility tb


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Infertility tb

  1. 1. Chapter 19
  2. 2.  “medically defined as the inability to become pregnant after twelve months of regular sexual intercourse without birth control or, for women over age 35, six months … and women who are unable to carry a pregnancy to term” (reference book p. 475) ◦ This surprised me because I had previously thought being infertile referred to premenopausal women who can not become pregnant, by natural or un-natural means, I did not realized the inability to carry a pregnancy to term was included.  1 out of every 10 women between the ages of 15 and 44 years old are infertile
  3. 3.  Social infertility refers to post menopausal women, people who are single and same-sex couples who can not have a child without utilizing fertility treatments or adoption.  Secondary infertility refers to becoming infertile after already being pregnant.
  4. 4. For women  Age  Improper Ovulation  Structural Problems in the Reproductive System  Poorly-working immune system  Cervical Fluid Problems  Luteal Phase Defects For men  Birth Defect  Issues that develop over time
  5. 5.  As women age their ovaries carry less eggs and it becomes harder for the ovaries to release the eggs  As a woman gets older she has greater chances of having a miscarriage  The reproductive processes also slow down as women age, however the rates at which this happen vary
  6. 6.   Can happen at any age Symptoms of abnormal ovulation, although not experienced by everyone, are ◦ Irregular menstruation ◦ No menstruation  Some causes of abnormal ovulation ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ Polycystic Ovarian Syndrome (PCOS) Premature Ovarian Insufficiency (POI) Thyroid disorders Benign pituitary tumors Excessive exercise Diabetes Weight loss Obesity Certain cancers and cancer medications
  7. 7.      Endometriosis Pelvic Inflammatory Disease Surgery Injury Uterine fibroids
  8. 8.   Caused either by birth defects or issues that develop overtime 90% of cases are because of a man’s sperm ◦ sperm count ◦ sperm mobility ◦ shape of the sperm Varicocele- when testicular veins become so large they increase the temperature of the storm  Retrograde Ejaculationwhen a man ejaculates, instead of making its way out the urethra his sperm moves backwards to the bladder Examples that effect all three are reproductive obstructions and testicular issues
  9. 9.  Drugs  Surgery ◦ Clomiphene citrate (clomid/serophene) ◦ Femara (letrozole) ◦ Follicle-stimulating hormone, FSH (follistim/fertinex/bravelle/gonalF/metrodin) ◦ Human menopausal gonadotropin, hMG (pergonal/repronex/humegon/menopur) ◦ Gonadotropin-releasing hormone agonist, GnRH (lupron/zoladex/synavel) ◦ Gonadotropin-releasing hormone antagonist (antagon/centrotide) ◦ Human chronic gonadotropin, hCG (pregnyl/novarel/ovidrel/profa si) ◦ Progesterone ◦ Fix obstructions in the reproductive system
  10. 10.  Assisted Reproductive Technologies ◦ Procedures involving egg and sperm manipulation by a doctor in a lab ◦ In vitro fertilization, IVF  Freezing of the eggs ◦ Retrieving and freezing unfertilized eggs outside of the body so the female from which they were retrieved can use them later in life  Collaborative Reproduction a.k.a. 3rd Party Reproduction ◦ Using donor sperm or egg ◦ Surrogacy  Traditional- the woman carrying the baby also provided the eggs  Gestational-the woman carrying the baby did not provide the eggs and has no biological connection to the child
  11. 11.   Different people grieve differently Among the variety of emotions experienced many people experience ◦ ◦ ◦ ◦  Guilt Sadness Self-doubt Anger Support ◦ ◦ ◦ ◦ Your partner Friends Family Professional
  12. 12.  I happen to have a friend who is infertile due to a genetic disorder, but is embarrassed by her infertility and does not like to tell or talk about it with people. If you were infertile would you be embarrassed?