Infertility can be caused by female or male factors and is defined as the inability to conceive after one year of regular unprotected sex. Common causes include problems with ovulation, the fallopian tubes, sperm quality, or other issues. Treatment may include fertility drugs to stimulate ovulation, surgery to repair damaged reproductive organs, artificial insemination (IUI), in vitro fertilization (IVF), or other assisted reproductive technologies (ART) like GIFT or ZIFT. The goal of treatment is to address the underlying cause of infertility and increase the chances of conception and pregnancy.
The document describes the stages of labor:
1) The first stage begins with onset of true labor pain and ends with full dilation of the cervix. It includes the latent and active phases.
2) The second stage begins with full dilation and ends with delivery of the fetus.
3) The third stage begins with delivery of the fetus and ends with delivery of the placenta.
4) The fourth stage is a 1 hour observation period after delivery of the placenta.
Clinical methods to assess cephalopelvic disproportion include the abdominal method, Ian Donald method, and the Munro Kerr-Muller method involving pelvic measurements.
This document defines infertility as failure to conceive within one year of regular unprotected sex. It discusses primary and secondary infertility and natural conception rates. The causes of infertility are outlined for both female and male factors. Investigation methods are described including indirect tests like hormone levels and direct tests like laparoscopy. Management is discussed for primary care including lifestyle changes and preconception advice. Secondary care management depends on the etiology and may include medications, surgery, and assisted reproduction techniques.
Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”
By World Health Organization
1) Low birth weight babies are those born weighing less than 2,500 grams. They are at higher risk of neonatal death and infant mortality.
2) Management of low birth weight babies depends on their weight - babies over 1.8kg can be managed at home, those 1.5-1.8kg require hospital care, and babies under 1.5kg need intensive care in the NICU.
3) Kangaroo mother care is a way to care for low birth weight babies that promotes warmth, breastfeeding, infection prevention, and bonding between mother and baby.
This document discusses the nursing management of high risk newborns, specifically post-mature infants. It defines high risk newborns as those with greater than average chances of morbidity within the first 28 days. It identifies characteristics like low birth weight, twins, and infection as risk factors. The goals of management are outlined as perinatal prevention, resuscitation, evaluation, monitoring, and family care. Assessment includes initial apgar scoring and ongoing clinical, transitional, behavioral, and physical assessments. Post-mature infants are those born after 42 weeks of gestation, and may show signs like loose skin and lack of vernix or lanugo. Management focuses on immediate care, temperature regulation, infection prevention, feeding support, and
Recent advancement in infertility final pptLalitaSharma39
This document provides an overview of recent advancements in infertility management. It begins with definitions of infertility and its types. It then discusses various causes of female infertility including age, smoking, STIs, weight, chemotherapy, genetic factors, and issues with the fallopian tubes, uterus, cervix, and vagina. Tests for infertility and treatment options like laparoscopy, medication, and assisted reproductive technologies are also outlined. Specific ART procedures described in detail include IUI, IVF, GIFT, ZIFT, ICSI, and ovary transplants.
The non-stress test (NST) is a common prenatal test used to evaluate fetal well-being in the third trimester of pregnancy. The test involves continuous electronic monitoring of the fetal heart rate and movements using ultrasound or other sensors. It is a non-invasive test performed when the fetus is over 28 weeks of gestation. During the 20-40 minute test, accelerations in the fetal heart rate in response to movement are evaluated to determine if the fetus is reactive and healthy or non-reactive, which may require further evaluation. The test helps assess fetal oxygen levels and growth without placing stress on the fetus.
The document discusses the benefits of meditation for reducing stress and anxiety. Regular meditation practice can help calm the mind and body by lowering heart rate and blood pressure. Studies have shown that meditating for just 10-20 minutes per day can have significant positive impacts on both mental and physical health.
The document describes the stages of labor:
1) The first stage begins with onset of true labor pain and ends with full dilation of the cervix. It includes the latent and active phases.
2) The second stage begins with full dilation and ends with delivery of the fetus.
3) The third stage begins with delivery of the fetus and ends with delivery of the placenta.
4) The fourth stage is a 1 hour observation period after delivery of the placenta.
Clinical methods to assess cephalopelvic disproportion include the abdominal method, Ian Donald method, and the Munro Kerr-Muller method involving pelvic measurements.
This document defines infertility as failure to conceive within one year of regular unprotected sex. It discusses primary and secondary infertility and natural conception rates. The causes of infertility are outlined for both female and male factors. Investigation methods are described including indirect tests like hormone levels and direct tests like laparoscopy. Management is discussed for primary care including lifestyle changes and preconception advice. Secondary care management depends on the etiology and may include medications, surgery, and assisted reproduction techniques.
Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”
By World Health Organization
1) Low birth weight babies are those born weighing less than 2,500 grams. They are at higher risk of neonatal death and infant mortality.
2) Management of low birth weight babies depends on their weight - babies over 1.8kg can be managed at home, those 1.5-1.8kg require hospital care, and babies under 1.5kg need intensive care in the NICU.
3) Kangaroo mother care is a way to care for low birth weight babies that promotes warmth, breastfeeding, infection prevention, and bonding between mother and baby.
This document discusses the nursing management of high risk newborns, specifically post-mature infants. It defines high risk newborns as those with greater than average chances of morbidity within the first 28 days. It identifies characteristics like low birth weight, twins, and infection as risk factors. The goals of management are outlined as perinatal prevention, resuscitation, evaluation, monitoring, and family care. Assessment includes initial apgar scoring and ongoing clinical, transitional, behavioral, and physical assessments. Post-mature infants are those born after 42 weeks of gestation, and may show signs like loose skin and lack of vernix or lanugo. Management focuses on immediate care, temperature regulation, infection prevention, feeding support, and
Recent advancement in infertility final pptLalitaSharma39
This document provides an overview of recent advancements in infertility management. It begins with definitions of infertility and its types. It then discusses various causes of female infertility including age, smoking, STIs, weight, chemotherapy, genetic factors, and issues with the fallopian tubes, uterus, cervix, and vagina. Tests for infertility and treatment options like laparoscopy, medication, and assisted reproductive technologies are also outlined. Specific ART procedures described in detail include IUI, IVF, GIFT, ZIFT, ICSI, and ovary transplants.
The non-stress test (NST) is a common prenatal test used to evaluate fetal well-being in the third trimester of pregnancy. The test involves continuous electronic monitoring of the fetal heart rate and movements using ultrasound or other sensors. It is a non-invasive test performed when the fetus is over 28 weeks of gestation. During the 20-40 minute test, accelerations in the fetal heart rate in response to movement are evaluated to determine if the fetus is reactive and healthy or non-reactive, which may require further evaluation. The test helps assess fetal oxygen levels and growth without placing stress on the fetus.
The document discusses the benefits of meditation for reducing stress and anxiety. Regular meditation practice can help calm the mind and body by lowering heart rate and blood pressure. Studies have shown that meditating for just 10-20 minutes per day can have significant positive impacts on both mental and physical health.
The document discusses female infertility, including its definition, types, causes, diagnostic tests, and treatment options. It begins with an overview of the female reproductive system physiology and hormone regulation. It then covers the various potential causes of infertility, which are grouped into ovarian, tubal, uterine, cervical, and vaginal factors. Numerous diagnostic tests and evaluation methods are presented for each factor. Treatment approaches are outlined depending on the identified cause, including ovulation induction, surgery, assisted reproductive technologies, and lifestyle modifications.
This document discusses various assisted reproductive technologies (ART) used to help couples conceive who are unable to naturally. It describes ART procedures like in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), intrauterine insemination (IUI), gamete intrafallopian tube transfer (GIFT), zygote intrafallopian transfer (ZIFT), and surrogacy. Infertility affects 7-26% of couples worldwide, and these technologies aim to increase the chances of fertilization and pregnancy through surgical egg and sperm manipulation and placement in the body. The document outlines the steps for common procedures like IVF, ICSI, IUI, GIFT and ZIFT. It also
Series of events that takes place in the genital organ in an effort to expel the viable products of conception out of the womb through the vagina into the outer world is called labour.
there are four stages of labour.
An intensive material on recent advances on contraception including the current contraceptive methods and a brief overview on immunocontraception and contraceptive vaccines
This document discusses high risk pregnancies and obstetric emergencies. It defines a high risk pregnancy as one complicated by a disease or disorder that could endanger the life of the mother, fetus, or newborn. Examples of conditions that can cause high risk pregnancies include heart disease, diabetes, twins/triplets, and bleeding disorders. The document also discusses various maternal and fetal complications that can occur during each trimester of pregnancy. It emphasizes the importance of emergency obstetric care and having multispecialty support to successfully manage complex high risk pregnancies and emergencies in order to save lives.
The Management (mainly the treatment aspect) of Female Infertility is described in brief here (as much as the limit of 55 slides permitted me to discuss!). References from:
Berek and Novak's Gynecology 15th editon
Speroff's Clinical Gynecologic Endocrinology and Infertility 8th edition
And of course, Slideshare itself!
Janani Suraksha Yojana is a national maternity benefits scheme launched in April 2005 with the objectives of reducing maternal and infant mortality rates by encouraging institutional delivery for pregnant women in below poverty line families. The scheme aims to promote safe motherhood and institutional care for poor pregnant women by providing cash assistance for delivering in a health center. Janani Suraksha Yojana is a centrally sponsored safe motherhood intervention under the National Rural Health Mission that aims to reduce maternal and neonatal mortality by promoting institutional delivery among poor pregnant women.
The third stage of labor involves the delivery of the placenta after birth of the baby. Active management with controlled cord traction and uterotonic drugs is recommended to prevent postpartum hemorrhage. After ensuring placental separation with signs like cord lengthening and uterine contraction, gentle traction is applied to the cord while massaging the uterus to deliver the placenta in a controlled manner. Rapid intravenous oxytocin is given after birth to aid placental separation and reduce bleeding risk.
The document discusses several changes that can occur to a woman's skin and underlying tissues during pregnancy. These include hyperpigmentation, melasma, hair and nail changes, vascular changes like spider telangiectases, glandular changes influencing sweating and acne, and connective tissue changes resulting in striae distensae. Several skin conditions like psoriasis and autoimmune disorders may also be influenced by pregnancy. Specific conditions that can occur include herpes gestationis, PUPPP, intrahepatic cholestasis of pregnancy, and pruritic folliculitis. The use of various drugs during pregnancy is also addressed, with categories assigned based on potential fetal risk.
Routine antenatal investigations, those are most common antenatal Investigat...sonal patel
Routine antenatal investigations include tests such as hemoglobin, urine, blood sugar, HIV, HBsAg, ABO, and Rh. These tests screen for anemia, infections, blood disorders, blood type, and other conditions. Abnormal results require follow up care during pregnancy to monitor the health of the mother and baby. Lifestyle changes like diet, exercise, and stress management can help treat minor issues and prevent complications.
This document discusses disorders of menstruation, including amenorrhea (absence of menstrual period), premenstrual syndrome (PMS), and menorrhagia (heavy menstrual bleeding). Amenorrhea can be primary (periods never start) or secondary (periods stop) and has many potential causes including pregnancy, breastfeeding, menopause, hormonal imbalances, medications, and structural issues. PMS involves physical and emotional symptoms in the one to two weeks before a woman's period, and is thought to be related to cyclic hormone changes. Menorrhagia is heavy or prolonged bleeding and can be caused by hormone imbalances, uterine fibroids, polyps, medications, and other medical conditions. Diagn
Essential new born care is the care provided to the baby immediate after the birth of the baby which is very important to reduce the neonatal mortality rate includes
supporting breastfeeding.
providing adequate warmth.
ensuring good hygiene and cord care,
recognizing early signs of danger and providing prompt treatment and.
referral, giving extra care to small babies, and.
having skilled health workers attend mothers and babies at delivery.
This document summarizes injectable contraceptives. There are two main types - progestogen-only injections which are effective for 2-3 months, and combined injections containing estrogen and progestogen effective for 1 month. Progestogen-only injections like DMPA are widely used and provide highly effective contraception through thickening cervical mucus and impairing ovulation. Combined injections like Mesigyna also suppress ovulation and are effective immediately with 1 injection. Common side effects include menstrual irregularities but are generally safe and reversible methods of contraception.
Hyperemesis Gravidarum is a severe form of nausea and vomiting during pregnancy that results in dehydration, weight loss and electrolyte imbalance. It affects 0.3-3% of pregnancies. Risk factors include multiple gestation, family history and nulliparity. Nausea is caused by hormonal changes that relax the gastrointestinal tract. Treatment ranges from dietary changes for mild cases to intravenous hydration and antiemetics for severe cases. Corticosteroids may help refractory nausea and vomiting.
medical management of infertility,think before surgery!!!!ShitalSavaliya1
Nowdays infertility is major issues world wide,It covers both male and female infertility causes,investigation and related treatments.it also includes recent options available at infertility centres.
This document discusses the four stages of labor: 1) dilation of the cervix, 2) baby moving through the birth canal, 3) delivery of the placenta, and 4) recovery of the mother. It focuses on the second stage where the baby moves from the uterus into the vagina and is born. Key events in this stage include uterine contractions every 2-3 minutes lasting 50-60 seconds and the baby descending through the pelvis. Nursing assessments and interventions are also outlined to monitor labor progress and support the mother through each stage.
Dilatation and curettage (D & C) is a procedure to remove tissue from inside the uterus. Doctors perform D & C to diagnose and treat certain uterine conditions — such as a heavy bleeding — or to clear the uterine lining after an abortion or miscarriage.
REDUCED FETAL MOVEMENTS - HOW TO PROCEED BY DR SHASHWAT JANIDR SHASHWAT JANI
Dr. Shashwat Jani provides a summary of the optimal management of women who experience reduced fetal movements (RFM). The document discusses evaluating these women to exclude fetal death or compromise and identify pregnancies at risk. It recommends confirming fetal heart tone with Doppler, performing a cardiotocography if over 28 weeks, and considering ultrasound to check amniotic fluid and fetal growth if concerns remain. For persistent RFM, monitoring with biophysical profiles and ultrasounds twice weekly is suggested before 37 weeks, and labor induction after 37 weeks if the cervix is favorable.
Prakash Kumar Singh provides his curriculum vitae. He received a B.Tech in Information Technology from JIS College of Engineering in 2015, scoring an aggregate of 7.5%. He obtained a 12th grade score of 69.4% from Kendriya Vidyalaya and 10th grade score of 76.4% from Kendriya Vidyalaya. He lists his computer proficiencies as C, Java, and C++ and obtained 1st prize in a 100m race and 3rd in a 1500m race in college.
El documento resume la historia y evolución del sistema operativo Mac OS de Apple. Comenzó en 1984 como un sistema operativo pionero en interfaces gráficas de usuario. Ha pasado por varias versiones clásicas que mejoraron el rendimiento y agregaron funciones. La versión actual es Mac OS X, la cual se basa en Unix y ha tenido varias actualizaciones importantes. El sistema operativo sigue siendo fundamental para los dispositivos Mac de Apple.
The document discusses female infertility, including its definition, types, causes, diagnostic tests, and treatment options. It begins with an overview of the female reproductive system physiology and hormone regulation. It then covers the various potential causes of infertility, which are grouped into ovarian, tubal, uterine, cervical, and vaginal factors. Numerous diagnostic tests and evaluation methods are presented for each factor. Treatment approaches are outlined depending on the identified cause, including ovulation induction, surgery, assisted reproductive technologies, and lifestyle modifications.
This document discusses various assisted reproductive technologies (ART) used to help couples conceive who are unable to naturally. It describes ART procedures like in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), intrauterine insemination (IUI), gamete intrafallopian tube transfer (GIFT), zygote intrafallopian transfer (ZIFT), and surrogacy. Infertility affects 7-26% of couples worldwide, and these technologies aim to increase the chances of fertilization and pregnancy through surgical egg and sperm manipulation and placement in the body. The document outlines the steps for common procedures like IVF, ICSI, IUI, GIFT and ZIFT. It also
Series of events that takes place in the genital organ in an effort to expel the viable products of conception out of the womb through the vagina into the outer world is called labour.
there are four stages of labour.
An intensive material on recent advances on contraception including the current contraceptive methods and a brief overview on immunocontraception and contraceptive vaccines
This document discusses high risk pregnancies and obstetric emergencies. It defines a high risk pregnancy as one complicated by a disease or disorder that could endanger the life of the mother, fetus, or newborn. Examples of conditions that can cause high risk pregnancies include heart disease, diabetes, twins/triplets, and bleeding disorders. The document also discusses various maternal and fetal complications that can occur during each trimester of pregnancy. It emphasizes the importance of emergency obstetric care and having multispecialty support to successfully manage complex high risk pregnancies and emergencies in order to save lives.
The Management (mainly the treatment aspect) of Female Infertility is described in brief here (as much as the limit of 55 slides permitted me to discuss!). References from:
Berek and Novak's Gynecology 15th editon
Speroff's Clinical Gynecologic Endocrinology and Infertility 8th edition
And of course, Slideshare itself!
Janani Suraksha Yojana is a national maternity benefits scheme launched in April 2005 with the objectives of reducing maternal and infant mortality rates by encouraging institutional delivery for pregnant women in below poverty line families. The scheme aims to promote safe motherhood and institutional care for poor pregnant women by providing cash assistance for delivering in a health center. Janani Suraksha Yojana is a centrally sponsored safe motherhood intervention under the National Rural Health Mission that aims to reduce maternal and neonatal mortality by promoting institutional delivery among poor pregnant women.
The third stage of labor involves the delivery of the placenta after birth of the baby. Active management with controlled cord traction and uterotonic drugs is recommended to prevent postpartum hemorrhage. After ensuring placental separation with signs like cord lengthening and uterine contraction, gentle traction is applied to the cord while massaging the uterus to deliver the placenta in a controlled manner. Rapid intravenous oxytocin is given after birth to aid placental separation and reduce bleeding risk.
The document discusses several changes that can occur to a woman's skin and underlying tissues during pregnancy. These include hyperpigmentation, melasma, hair and nail changes, vascular changes like spider telangiectases, glandular changes influencing sweating and acne, and connective tissue changes resulting in striae distensae. Several skin conditions like psoriasis and autoimmune disorders may also be influenced by pregnancy. Specific conditions that can occur include herpes gestationis, PUPPP, intrahepatic cholestasis of pregnancy, and pruritic folliculitis. The use of various drugs during pregnancy is also addressed, with categories assigned based on potential fetal risk.
Routine antenatal investigations, those are most common antenatal Investigat...sonal patel
Routine antenatal investigations include tests such as hemoglobin, urine, blood sugar, HIV, HBsAg, ABO, and Rh. These tests screen for anemia, infections, blood disorders, blood type, and other conditions. Abnormal results require follow up care during pregnancy to monitor the health of the mother and baby. Lifestyle changes like diet, exercise, and stress management can help treat minor issues and prevent complications.
This document discusses disorders of menstruation, including amenorrhea (absence of menstrual period), premenstrual syndrome (PMS), and menorrhagia (heavy menstrual bleeding). Amenorrhea can be primary (periods never start) or secondary (periods stop) and has many potential causes including pregnancy, breastfeeding, menopause, hormonal imbalances, medications, and structural issues. PMS involves physical and emotional symptoms in the one to two weeks before a woman's period, and is thought to be related to cyclic hormone changes. Menorrhagia is heavy or prolonged bleeding and can be caused by hormone imbalances, uterine fibroids, polyps, medications, and other medical conditions. Diagn
Essential new born care is the care provided to the baby immediate after the birth of the baby which is very important to reduce the neonatal mortality rate includes
supporting breastfeeding.
providing adequate warmth.
ensuring good hygiene and cord care,
recognizing early signs of danger and providing prompt treatment and.
referral, giving extra care to small babies, and.
having skilled health workers attend mothers and babies at delivery.
This document summarizes injectable contraceptives. There are two main types - progestogen-only injections which are effective for 2-3 months, and combined injections containing estrogen and progestogen effective for 1 month. Progestogen-only injections like DMPA are widely used and provide highly effective contraception through thickening cervical mucus and impairing ovulation. Combined injections like Mesigyna also suppress ovulation and are effective immediately with 1 injection. Common side effects include menstrual irregularities but are generally safe and reversible methods of contraception.
Hyperemesis Gravidarum is a severe form of nausea and vomiting during pregnancy that results in dehydration, weight loss and electrolyte imbalance. It affects 0.3-3% of pregnancies. Risk factors include multiple gestation, family history and nulliparity. Nausea is caused by hormonal changes that relax the gastrointestinal tract. Treatment ranges from dietary changes for mild cases to intravenous hydration and antiemetics for severe cases. Corticosteroids may help refractory nausea and vomiting.
medical management of infertility,think before surgery!!!!ShitalSavaliya1
Nowdays infertility is major issues world wide,It covers both male and female infertility causes,investigation and related treatments.it also includes recent options available at infertility centres.
This document discusses the four stages of labor: 1) dilation of the cervix, 2) baby moving through the birth canal, 3) delivery of the placenta, and 4) recovery of the mother. It focuses on the second stage where the baby moves from the uterus into the vagina and is born. Key events in this stage include uterine contractions every 2-3 minutes lasting 50-60 seconds and the baby descending through the pelvis. Nursing assessments and interventions are also outlined to monitor labor progress and support the mother through each stage.
Dilatation and curettage (D & C) is a procedure to remove tissue from inside the uterus. Doctors perform D & C to diagnose and treat certain uterine conditions — such as a heavy bleeding — or to clear the uterine lining after an abortion or miscarriage.
REDUCED FETAL MOVEMENTS - HOW TO PROCEED BY DR SHASHWAT JANIDR SHASHWAT JANI
Dr. Shashwat Jani provides a summary of the optimal management of women who experience reduced fetal movements (RFM). The document discusses evaluating these women to exclude fetal death or compromise and identify pregnancies at risk. It recommends confirming fetal heart tone with Doppler, performing a cardiotocography if over 28 weeks, and considering ultrasound to check amniotic fluid and fetal growth if concerns remain. For persistent RFM, monitoring with biophysical profiles and ultrasounds twice weekly is suggested before 37 weeks, and labor induction after 37 weeks if the cervix is favorable.
Prakash Kumar Singh provides his curriculum vitae. He received a B.Tech in Information Technology from JIS College of Engineering in 2015, scoring an aggregate of 7.5%. He obtained a 12th grade score of 69.4% from Kendriya Vidyalaya and 10th grade score of 76.4% from Kendriya Vidyalaya. He lists his computer proficiencies as C, Java, and C++ and obtained 1st prize in a 100m race and 3rd in a 1500m race in college.
El documento resume la historia y evolución del sistema operativo Mac OS de Apple. Comenzó en 1984 como un sistema operativo pionero en interfaces gráficas de usuario. Ha pasado por varias versiones clásicas que mejoraron el rendimiento y agregaron funciones. La versión actual es Mac OS X, la cual se basa en Unix y ha tenido varias actualizaciones importantes. El sistema operativo sigue siendo fundamental para los dispositivos Mac de Apple.
This document discusses congenital inguinal hernia and hydrocele. It notes that congenital inguinal hernia is caused by the continued patency of the processus vaginalis after birth, which allows intra-abdominal structures to descend into the scrotum. Congenital hydrocele involves a narrow sac within the processus vaginalis that contains fluid but no structures. The document provides details on the causes, clinical presentation, management including surgical repair, and complications of each condition.
This document provides information about human sexuality and relationships. It covers male and female anatomy, how to use condoms, various forms of birth control, sexual positions like missionary, masturbation, common myths about sex and pregnancy, how sexual intercourse occurs, menstruation, and characteristics of healthy relationships versus abusive relationships. The goal is to educate individuals about their sexuality and relationships in a factual way.
The document summarizes the anatomy of the scrotum. It describes the layers of the scrotum from the outer skin to the inner layers surrounding the testes. It also discusses the blood supply, lymphatic drainage and innervation of the scrotum and testes. The microanatomy section provides details on the structure of the testes and epididymis as well as the contents of the spermatic cord. Common scrotal swellings are listed and clinical applications of scrotal anatomy are mentioned.
This document provides information on inguinal-scrotal lumps including:
[1] It discusses various pathologies that can present as inguinal-scrotal lumps such as hernias, cysts, tumors and lymphadenopathy. [2] It reviews the anatomy of the inguinal region including the inguinal canal, spermatic cord and testes. [3] It provides guidance on assessing patients with inguinal-scrotal lumps including taking a history, performing an examination and deciding when imaging or biopsy may be needed.
Hydrocele is a collection of serous fluid in the tunica vaginalis of the scrotum. The document discusses the surgical anatomy of the scrotum, defines hydrocele and discusses its classification and causes. It also covers the clinical examination for hydrocele including inspection, palpation and transillumination of the scrotum. Common investigations like ultrasound and treatments like eversion of the sac are mentioned. Complications of hydrocele surgery are also listed.
This document discusses various methods of family planning and contraception. It describes natural family planning methods like calendar/rhythm methods and basal body temperature tracking. It also outlines mechanical methods like condoms, diaphragms, and IUDs. Hormonal methods like pills, patches, rings, and injections are explained. The ideal characteristics of contraception are listed as well as conditions where different methods may be suitable. Effectiveness rates and considerations for various contraceptive options are provided.
1. Infertility is defined as the failure to conceive within one year of regular unprotected intercourse or six months if the woman is over 35.
2. Common causes of infertility include problems with ovulation, blocked fallopian tubes, age, previous tubal ligation, endometriosis, low sperm count, blocked sperm passage, or sperm that do not function properly.
3. Treatment options for women include fertility drugs to stimulate ovulation, while options for men include treatments for impotence, infections, or too few sperm. Assisted reproductive technologies include intrauterine insemination, in vitro fertilization, zygote intrafallopian transfer, and intracytoplasmic sperm injection.
This document discusses infertility, including its definition, causes, diagnostic evaluation, and management. It notes that infertility is defined as the inability to conceive after one year of unprotected intercourse. The causes of infertility can be male factors related to sperm production or transport, female factors related to ovulation or egg/hormone problems, or combined factors in both partners. Diagnostic evaluation involves medical histories, physical exams, sperm analysis, hormone testing, imaging of reproductive organs, and other tests to identify treatable causes. Management depends on the underlying causes and may include lifestyle changes, surgery, assisted reproductive technologies like IVF, or alternatives to childbirth like adoption.
The document discusses the causes and treatment of female infertility. It outlines various causative factors including problems with the fallopian tubes, ovulation, endometriosis, cervical or uterine issues, and other behavioral and environmental factors. Diagnostic tests like hysterosalpingography and laparoscopy are used to identify issues. Treatments include fertility drugs to stimulate ovulation, surgery to repair damaged tubes, and IVF which involves retrieving eggs, fertilizing them with sperm in vitro, and transferring embryos into the uterus. Maintaining a healthy lifestyle, treating existing diseases, and not delaying parenthood can help prevent some cases of infertility.
Infertility in male and female.pptx for Nursing studentsankitarya2550
Infertility is a condition referred to unavailability to conceive after continue one year of regular coitus without using any kind of contraceptive and family planning methodology.
This document discusses infertility in both males and females. It defines primary and secondary infertility and lists various factors that can cause infertility in males and females. For males, it discusses abnormalities of sperm, erection, ejaculation and seminal fluid. For females, it discusses disorders of ovulation, fallopian tubes, cervix and recurrent pregnancy loss. It also discusses diagnostic tests and treatments for infertility including fertility drugs, assisted reproductive technologies like IVF, and surrogacy.
Assisted reproductive technology treats infertility and the treatment involves both a man's sperm and a woman's egg. The procedure begins by extracting eggs from a woman's body and then fusing it with the sperm to generate embryos. This embryo is then transferred back into the woman's body.
In vitro fertilization (IVF) involves retrieving eggs from a woman's ovaries and fertilizing them with sperm in a lab. The fertilized embryo can then be transferred to the woman's uterus. IVF is used to overcome infertility issues like blocked or damaged fallopian tubes, reduced ovarian function, endometriosis, or male factor infertility. The IVF process includes ovarian stimulation with hormones, egg retrieval from the ovaries, fertilization of the eggs with sperm in the lab, and embryo transfer back into the uterus. Success rates for live birth with IVF are 41-43% for women under 35 but decline to 13-18% for women over 40.
- Infertility is a problem through out and increasing rates noticed.
- The successful birth of a “Test Tube Baby”, Louise Brown occurred in 1978 in Oldham General Hospital, U.K.
- Roberts G. Edwards; the physiologist who developed the treatment was awarded the noble prize in Medicine in 2010.
The document discusses infertility, including its definition, causes, risk factors, diagnostic evaluation, management, and prevention. Infertility is defined as the failure to conceive after one year of unprotected intercourse. It can be caused by issues with ovulation, fallopian tubes, or the uterus. Diagnostic evaluations include medical history, exams, and tests of hormones and reproductive organs. Treatments include fertility drugs, surgery, intrauterine insemination (IUI), in vitro fertilization (IVF), and other assisted reproductive technologies (ART). Prevention focuses on maintaining a healthy lifestyle and treating existing diseases early.
This study surveyed 370 women with infertility to examine the relationship between anxiety, depression, and the duration and cause of infertility. The results showed that 40.8% of women experienced depression and 86.8% experienced anxiety. Depression was related to the cause of infertility, duration, education level, and job. Anxiety was related to duration of infertility and education level. Anxiety and depression were most common after 4-6 years of infertility, and severe depression occurred most in those with infertility for 7-9 years. The conclusion is that psychological support and treatment is important for the mental health of these patients.
This document discusses various factors that can cause infertility in males and females. It describes abnormalities that can impair sperm production or function in males such as low sperm count, abnormal sperm morphology or motility. It also discusses erection or ejaculation issues. In females, it mentions disorders of ovulation, fallopian tube abnormalities, cervical issues, or recurrent pregnancy loss as factors. Some diagnostic tests and treatments for infertility are also outlined such as semen analysis, ovulation predictor kits, fertility drugs, artificial insemination, IVF etc.
i. Intrauterine insemination (IUI).
ii. In vitro fertilization and embryo transfer (IVF and ET).
iii. Gamete intra-fallopian transfer (GIFT).
iv. Zygote intra-fallopian transfer (ZIPT).
v. Intra-vaginal culture (IVC).
vi. Cytoplasmic transfer (CT).
This document provides an overview of infertility, including its definition, types, incidence, risk factors, diagnosis, treatment, and the role of midwives. It defines infertility as the inability to conceive after one year of unprotected sex. Various female and male factors that can cause infertility are described. Diagnostic tests for both men and women are outlined. Treatment options include lifestyle changes, fertility drugs, surgery, and assisted reproductive technologies like IUI, IVF, and ICSI. The importance of infertility counseling to help couples cope with emotional aspects is also discussed.
ART refers to methods used to achieve pregnancy by artificial or partially artificial means.
• INCLUDES- artificial insemination, In vitro fertilization (IVF) , Zygote intrafallopian transfer (ZIFT) or Tubal Embryo Transfer, Gamete intrafallopian transfer (GIFT) , Intracytoplasmic sperm injection (ICSI)
Infertility affects approximately 15% of couples globally and can be caused by female or male factors. Evaluating both partners is important to determine the cause, which may include issues with ovulation, fallopian tubes, sperm, or other uterine or hormonal problems. Treatment options range from ovulation-inducing drugs, surgery to repair issues, and assisted reproductive technologies like IVF, IUI, or ICSI depending on the underlying cause.
Dr. Shilpa Bhandari is a highly experienced IVF specialist in Indore Madhya Pradesh and provides affordable ivf cost in Indore at Mohak infertility center. Book an appointment today Call now us 78980-47572 / 80852-77666 and online visit - https://mohakivf.com/
Recognized as one of the best clinics in Gurgaon for Fertility treatment, Miracles Fertility & IVF Clinic is dedicated to providing the best-personalized health care tailored to individual patient needs.
This document provides information about infertility, including definitions, causes, tests, and treatments. It notes that infertility is defined as failure to conceive within one year of unprotected sex. The most common causes are issues with ovulation (30% of cases), male factor infertility (30%), and tubal damage or blockages (30-50% of female cases). Diagnostic testing involves assessing hormone levels, semen analysis, hysterosalpingography, and laparoscopy. Treatment depends on the underlying cause but may include fertility drugs, artificial insemination, in vitro fertilization (IVF), or surgery. Success rates vary based in the cause but range from 20-60% for treatments and 15-43% for IV
Infertility can be caused by issues with sperm production, erectile dysfunction, or structural abnormalities in males. In females, infertility may be due to problems with ovulation, fallopian tubes, uterine lining, or advanced age. Assisted reproductive technologies (ART) help overcome infertility through techniques like artificial insemination, in vitro fertilization, and surrogacy. ART involves stimulating a woman's ovaries, retrieving eggs, fertilizing them with sperm, and transferring embryos into the uterus, potentially helping many couples achieve pregnancy.
Infertility is defined as the failure to conceive after 12 months of unprotected sex. It can be caused by issues with either the man or woman's reproductive systems. Common causes include fallopian tube damage, ovulation disorders, low sperm count/quality, and age-related decline in fertility. Diagnosis involves medical history, physical exams, and tests like semen analysis and ultrasound. Treatment may include lifestyle changes, fertility drugs, artificial insemination, in vitro fertilization, and surrogacy. Preventing infertility requires a healthy diet, exercise, stress management, avoiding drugs/excessive alcohol, and considering age-related fertility decline.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
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Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
2. Infertility primarily refers to the biological
inability of a person to contribute to
conception. Infertility may also refer to the
state of a woman who is unable to carry a
pregnancy to full term
3. The WHO defines infertility as follows:
“ Infertility is the inability to conceive a child. A
couple may be considered infertile if, after two
years of regular sexual intercourse, without
contraception, the woman has not become
pregnant (and there is no other reason, such as
breastfeeding or postpartum amenorrhoea).
Primary infertility is infertility in a couple who
have never had a child. Secondary infertility is
failure to conceive following a previous
pregnancy. Infertility may be caused by
infection in the man or woman, but often there
is no obvious underlying cause.
8. Cervical factors:
Anatomic:
Congenital elongation of the cervix
Second degree uterine prolapse
Acute retroverted uterus
Physiological :
Fault in the composition of cervical
mucous
Presence of antisperm or sperm
immobilizing antibodies.
9. Vaginal factors:
Atresia vagina ( partial or
complete)
Transverse vaginal septum
Septate vagina or narrow introitus
causing dysperunia
Vaginitis
11. Obstruction of efferent duct system
Congenital
Absence of vas defference ( cystic fibrosis)
Young’s syndrome
Acquired
Infective ( tuberculosis, gonorrhoea)
Surgical trauma
12. Failure to deposit sperm high in the vagina
Impotency
ejaculatory failure
Retrogdrade ejaculation
Hypospadiasis
Bladder neck surgery
Psychosexual
Drug related
13. Defect in sperm and seminal fluid
Immotile sperm
Oligospermia – sperm count i9s less than 20
million per ml
Polyzoospermia- count is more than 350
million per ml
Azoospermia –no spermatozoa in the sperm
Asthenozoospermia- <50% spermatozoa
having forward progressive movement
14. Necrozoospermia –spermatozoa
less or movement is less.
Teratozoospermia - >70%
spermatozoa with abnormal
morphology
Oligoasthenoteratozoospermia-
disturbance in all three variables.
16. Male Factor
History of age, duration of marriage
etc.
Routine investigation of urine and
blood
conventional semen analysis
A variety of sperm function tests such
as in vitro mucous penetration test,
hamster egg penetration test and post
coital test.
17. Female factor
History about age, duration of
marriage, general medical
history, surgical
history,menstrual history,
previous obstrtric history,
contraceptive practice and
sexual problems.
21. Others
The peritoneal factors are assessed by
laparoscopy
The uterine factor by
hysterosalpingography and
hysteroscopy.
Immunological factors are evaluated by
a variety of special tests
22. Treatment
• Infertility can be treated with medicine,
surgery, artificial insemination or assisted
reproductive technology.
– Stimulate ovulation with fertility drugs
• About two-thirds of couples who are
treated for infertility are able to have a
baby.
• In most cases, infertility is treated with
drugs or surgery.
23. Couple instructions
Assurance
the infertile couple remains psychologically
disturbed right from the beginning. The couple
should be tactfully handled to minimize
psychological upset.
Body weight: BMI of 20-24 is optimum
Smoking and alcohol: excess smoking and alcohol is
to be avoided.
Coital problems: the coital problems should be
carefully evaluated. Advice to have the intercourse
during the mid cycle often gives the result.
24. Male infertility
The treatment of male is indicated in
the following cases
Extreme oligospermia
Azoospermia
Low volume ejaculate
Impotency
25. To improve spermatogenesis : improve
the general health,reduction of weight
in the obese,avoidence of alcohol and
heavy smoking are helpful.
Avoidance of tight and warm
undergarments
Cold scrotal batch atleast twise a day
for 5 mins
Aviodence of too frequent sexual
intercourse.
26. Vit E, C,B12 and folic acid will improve the
general health.
Hypogonadotropic-hypogonadism is treated
by:clomiphene citrate 25-50 mg for 25
dayswith the rest of 5 days for 3 cycles.it
increases serum level of LH,FHS AND
tesatosterone.
hCG IM once or twice week
27. In the presence of antisperm
antibodies , dexamethasone 0.5 mg
daily at bed time may be tried.
Genital tract infection needs
prolonged antibiotic therapy.
28. Surgical
When the patient is found to be azoospermic and
yet testicular biopsy shows normal
spermatogenesis, obstruction of the vas must be
suspected. This should be corrected by micro-
surgery-vaso epididymostomy or vasovasostomy.
After surgery pregnancy rate is 50%
The presence of varicocoele is corrected by high
ligation of spermatic vein and the hydrocele by
surgery.
34. Sugery
Wedge resection of bilateral ovaries in
PCOS.
laparoscopic ovarian diathermy and laser
vaporization as an alternative to wedge
resection
appropriate surgery for pituitary
prolactinomas
Surgical removal of ovarian and adrenal
tumor.
35. What is ART?
Assisted Reproductive
Technologies:
Fertility therapies where eggs and
sperm are manipulated
Involve surgically removing eggs from
women and combining them with
sperm in the laboratory
36. IVF (in vitro fertilization)and
embryo transfer
is a method in which egg cells are
fertilized by sperm cells outside
the mother’s womb (in vitro). The
resulting embryos are then
transferred back into the uterus.
37. STEPS IN IVF
Follicle suppression
Controlled ovarian hyperstimulation
Aspiration of eggs from follicles
Fertilization, incubation and selection
of embryos
Embryo transfer
Pregnancy test
43. IUI
Intrauterine insemination (IUI) is a procedure that
involves placing sperm inside a woman’s uterus to
facilitate fertilization. This fertility treatment does not
involve the manipulation of a woman’s eggs, and
therefore is not considered an assisted reproductive
technology (ART) procedure.
44. When is IUI used?
IUI is a fertility treatment often selected by couples who have
been trying to conceive for at least one year with no success. IUI
may be selected as a fertility treatment with any of the following
conditions:
Unexplained infertility
Low sperm count
Decreased sperm mobility
Requirement of donor sperm
A hostile cervical condition, such as cervical mucus that is too
thick
Cervical scar tissue from past procedures or endometriosis
Ejaculation dysfunction
IUI provides the sperm an advantage by giving it a head start, but
still requires a sperm to reach and fertilize the egg on its own.
45. Fallopian Tube Sperm Perfusion
(FSP)
Fallopian Tube Sperm Perfusion
(FSP) is a relatively recent modification
of IUI in which the insemination will
directly place sperm into the fallopian
tubes
46. AID (artificial insemination by
donor)
AID (artificial insemination by donor): A
procedure in which a fine catheter (tube) is inserted
through the cervix (the natural opening of the uterus)
into the uterus (the womb) to deposit a sperm sample
from a donor other than the woman's mate directly
into the uterus. The purpose of this procedure is to
achieve fertilization and pregnancy. AID is also called
heterologous insemination. AID is distinguished from
homologous insemination, that is artificial
insemination by husband (AIH).
47. Gamete intra-fallopian transfer
(GIFT)
With gamete intra-fallopian transfer (GIFT), the
preparation and monitoring of the growth of eggs is
identical to in vitro fertilisation (IVF).
Instead of the eggs being fertilised “in vitro” in the
laboratory, the healthiest eggs and sperm are placed
together in the woman’s fallopian tubes. Fertilisation
therefore takes place in the body, as it would if
conception had occurred naturally.
48. GIFT has been used with some success in cases where:
a couple has unexplained infertility
the woman’s fallopian tubes aren’t blocked or damaged
the man has a low sperm count, or there are problems
with the sperm
there are objections to IVF on religious or other
reasons
IVF has failed to result in a successful pregnancy.
49. Zygote Intrafallopian Transfer: ZIFT
ZIFT is an assisted reproductive procedure similar to in
vitro fertilization and embryo transfer, the difference
being that the fertilized embryo is transferred into the
fallopian tube instead of the uterus. Because the
fertilized egg is transferred directly into the tubes, the
procedure is also referred to as tubal embryo transfer
(TET). This procedure can be more successful
than gamete intrafallopian transfer (GIFT) because
your physician has a greater chance of insuring that
the egg is fertilized. The woman must have healthy
tubes for ZIFT to work.
50. ZIFT is an assisted reproductive procedure which may
be the selected form of treatment for any infertility
problems except the following:
Tubal blockage
Significant tubal damage
An anatomic problem with the uterus, such as severe
intrauterine adhesions
Sperm that are not able to penetrate an egg
51. Complications
• Multiple pregnancy
• Ovarian hyperstimulation syndrome(OHSS)
– Ovaries may enlarge and cause pain and bloating
– Higher risk in PCOS women
• Bleeding or infection
• Low birth weight
• Birth defects
52. Ways to Battle Infertility
• Regular exercise
• Avoid alcohol, tobacco, and narcotics
• Limit caffeine
– No more than 250 mg per day
• Limit medications
• Eat a balanced diet