Chapter 7 Infertility, Contraception, and Abortion
|
|
- Kathleen Simmons
- 5 years ago
- Views:
Transcription
1 Chapter 7 Infertility, Contraception, and Abortion
2 Infertility Incidence Affects about 10% to 15% of reproductive-age population Subfertility: prolonged time to conceive Sterility: inability to conceive Increases with age of woman, particularly in women 40 years and older Diagnosis and treatment of infertility require physical, emotional, and financial investment 2
3 Infertility cont d Factors associated with infertility Female infertility Ovarian factors Tubal and peritoneal factors Uterine factors Vaginal-cervical factors Isoimmunization Other factors 3
4 Fig Abnormal uterus. A, Complete bicornuate uterus with vagina divided by a septum. B, Complete bicornuate uterus with normal vagina. C, Partial bicornuate uterus with normal vagina. D, Unicornuate uterus. 4
5 Infertility cont d Factors associated with infertility Male infertility Can be caused by structural and hormonal disorders Undescended testes Hypospadias Varicocele (varicose vein of the scrotum) Low testosterone levels Substance abuse Other factors 5
6 Nursing Care Management Assessment of female Diagnostic tests Evaluation of the anatomy Detection of ovulation Hormone analysis Ultrasonography Endometrial biopsy Hysterosalpingography Laparoscopy 6
7 Fig Hysterosalpingography. Note that the contrast medium flows through the intrauterine cannula and out through the uterine tubes. 7
8 Fig Laparoscopy. 8
9 Nursing Care Management cont d Assessment of male Semen analysis Hormone analysis Scrotal ultrasound Assessment of couple Postcoital test 9
10 Nursing Care Management cont d Plan of care and implementation Psychosocial Nonmedical Herbal alternative methods Medical Surgical Assisted reproductive therapies 10
11 Nursing Care Management cont d Assisted reproductive therapies In vitro fertilization-embryo transfer (IVF-ET) Gamete intrafallopian transfer (GIFT) Zygote intrafallopian transfer (ZIFT) Ovum transfer (oocyte donation) Therapeutic donor insemination (TDI) Embryo adoption or hosting 11
12 Fig Gamete intrafallopian transfer (GIFT). A, Through laparoscopy a ripe follicle is located, and fluid containing the egg is removed. B, The sperm and egg are placed separately in the uterine tube, where fertilization occurs. 12
13 Nursing Care Management cont d Reproductive alternatives Adoption Surrogate motherhood Preimplantation genetic diagnosis 13
14 Contraception Intentional prevention of pregnancy Birth control is the device or practice to decrease the risk of conceiving Family planning is the conscious decision on when to conceive or avoid pregnancy May still be at risk for pregnancy 14
15 Nursing Care Management A multidisciplinary approach to assist the woman in choosing an appropriate contraceptive method Ideally the method should be safe, readily available, economical, acceptable, and simple to use The safety of a method depends on a woman s medical history 15
16 Contraception cont d Methods Coitus interruptus (withdrawal) Fertility awareness methods (FAMs) Rely on avoidance of intercourse during fertile periods FAMs combine charting menstrual cycle with abstinence or other contraceptive methods 16
17 Contraception cont d Methods FAMs Natural family planning (period abstinence) Calendar rhythm method Standard days method Basal body temperature method Cervical mucus ovulation-detection method 17
18 Contraception cont d Methods FAMs Symptothermal method Predictor test for ovulation TwoDay method Lactation amenorrhea method 18
19 Unn. Fig Cervical Mucus Characteristics 19
20 Contraception cont d Barrier methods Spermicides Condoms, male (STI protection) Vaginal sheath (STI protection) Diaphragm Fit of diaphragm Toxic shock syndrome Cervical cap Fit of cervical cap Contraceptive sponge 20
21 Fig Spermicides. 21
22 Fig A, Mechanical barriers. Clockwise from top: female condom, cervical cap, diaphragm, types of male condoms, vaginal ring (hormonal) (center). B, Contraceptive sponge. 22
23 Unn. Fig Squatting 23
24 Unn. Fig Leg-Up Method 24
25 Unn. Fig Chair Method 25
26 Unn. Fig Reclining 26
27 Unn. Fig Preparation of Diaphragm 27
28 Unn. Fig Insertion of Diaphragm 28
29 Unn. Fig Diaphragm Insertion 29
30 Unn. Fig Diaphragm Insertion 30
31 Unn. Fig Diaphragm Insertion 31
32 Unn. Fig Diaphragm Insertion 32
33 Unn. Fig Cervical Cap Insertion 33
34 Unn. Fig Cervical Cap Insertion 34
35 Unn. Fig Cervical Cap Insertion 35
36 Contraception cont d Hormonal methods Combined estrogen-progestin contraceptives (COCs) Oral contraceptives and side effects Transdermal contraceptive system Vaginal ring 36
37 Contraception cont d Hormonal methods Progestin-only contraceptives Oral progestins (minipill) Injectable progestins Implantable progestins (Norplant) 37
38 Contraception cont d Emergency contraception Used within 72 hours of unprotected intercourse Three methods available in the United States High doses of estrogen or COCs Two days of levonorgestrel Insertion of the copper intrauterine device (IUD) 38
39 Contraception cont d IUD Small, T-shaped device inserted into the uterine cavity Medicated IUDs loaded with either copper or progestational agent IUD offers no protection against STIs or HIV 39
40 Fig Intrauterine devices. A, Copper T380A. B, Levonorgestrel-releasing intrauterine device. 40
41 Contraception cont d Sterilization Female Tubal occlusion Tubal reconstruction Male (vasectomy) Tubal reconstruction (reanastomosis) 41
42 Fig Sterilization. A, Uterine tubes ligated and severed (tubal ligation). B, Sperm duct ligated and severed (vasectomy). 42
43 Fig Use of minilaparotomy to gain access to uterine tubes for occlusion procedures. Tenaculum is used to lift uterus upward (arrow) toward incision. 43
44 Abortion Purposeful interruption of pregnancy before 20 weeks of gestation Elective Therapeutic Contributing factors Legal and moral issues 44
45 Abortion cont d First-trimester abortion Surgical (aspiration) abortion Methotrexate and misoprostol Mifepristone and misoprostol Second-trimester abortion Dilation and evacuation Prostaglandins Hypertonic and uterotonic agents 45
46 Key Points Infertility: inability to conceive and carry a fetus to term gestation Infertility affects about 10% to 15% of otherwise healthy adults Infertility increases in women older than 35 years In the United States about one third of infertility causes are related to female causes, one third are related to male causes, 20% of causes are unexplained 46
47 Key Points cont d Common etiologic factors include decreased sperm production, ovulation disorders, tubal occlusion, and endometriosis Reproductive alternatives include: IVFET, GIFT, ZIFT, oocyte donation, embryo donation, TDI, surrogate motherhood, and adoption Contraceptive methods with various effectiveness rates, advantages, and disadvantages are available 47
48 Key Points cont d Women and their partners should choose the contraceptive method(s) best suited to them Effective contraceptives are available through both prescription and nonprescription sources Concurrent use of spermicides and latex condoms provides protection against STIs Tubal ligations and vasectomies are permanent sterilization methods 48
49 Key Points cont d Induced abortion performed in the first trimester is safer and less complex Most common complications of induced abortion include infection, retained products of conception, and excessive vaginal bleeding 49
Contraceptives. Kim Dawson October 2010
Contraceptives Kim Dawson October 2010 Objectives: You will learn about: The about the different methods of birth control. How to use each method of birth control. Emergency contraception What are they?
More informationBirth Control- an Overview. Keith Merritt, MD. Remember, all methods of birth control are safer and have fewer side effects than pregnancy
Birth Control- an Overview Keith Merritt, MD Basics Remember, all methods of birth control are safer and have fewer side effects than pregnancy Even with perfect use, each method of birth control has a
More informationFamily Planning and Infertility
Family Planning and Infertility Chapter 20 Objectives Discuss types of reversible contraception Natural methods Mechanical barrier methods Hormonal contraceptives Discuss types of permanent contraception
More information100% Highly effective No cost No side effects
effective? Advantages Disadvantages How do I get Cost Abstinence For some it can mean no sexual contact. For others it is no sexual intercourse or vaginal penetration. A permanent surgical procedure available
More informationWHAT ARE CONTRACEPTIVES?
CONTRACEPTION WHAT ARE CONTRACEPTIVES? Methods used to prevent fertilization *Also referred to as birth control methods With contraceptives, it is important to look at what works for you and your body.
More informationBirth Control Options Chart
Hormonal Methods Birth control pills also known as mini-pills 91-99% A daily pill containing hormones that stops you from ovulating. There are combination estrogen or progestin-only (mini-pill) options.
More informationCHAPTER 4 REPRODUCTIVE HEALTH POINTS TO REMEMBER
CHAPTER 4 REPRODUCTIVE HEALTH POINTS TO REMEMBER Amniocentesis : Diagnostic technique to detect genetic disorder in the foetus. Infertility : Inability to produce children in spite of unprotected sexual
More informationUnit 9 CONTRACEPTION LEARNING OBJECTIVES
Unit 9 CONTRACEPTION LEARNING OBJECTIVES 1. Become aware of the magnitude of teen age sexual activity and pregnancy and some of the social and economic effects. 2. Learn about the various means of contraception,
More informationNotes to Teacher continued Contraceptive Considerations
Abstinence a conscious decision to refrain from sexual intercourse 100% pregnancy will not occur if close contact between the penis and vagina does not take place. The risk of a number of STDs, including
More informationBiology of fertility control. Higher Human Biology
Biology of fertility control Higher Human Biology Learning Intention Compare fertile periods in females and males What is infertility? Infertility is the inability of a sexually active, non-contracepting
More informationThe following lesson on contraception (birth control) is not intended to infer that you will be sexually active as a teen. This is information that
The following lesson on contraception (birth control) is not intended to infer that you will be sexually active as a teen. This is information that may be used in the future Abstinence Choosing not to
More informationMULTIPLE-CHOICE QUESTIONS
24 BIOLOGY, EXEMPLAR PROBLEMS CHAPTER 4 REPRODUCTIVE HEALTH MULTIPLE-CHOICE QUESTIONS 1. The method of directly injecting a sperm into ovum in Assisted Reproductive Technology is called: a. GIFT b. ZIFT
More informationThe Balanced Counseling Strategy Plus: A Toolkit for Family Planning Service Providers Working in High STI/HIV Prevalence Settings.
The Balanced Counseling Strategy Plus: A Toolkit for Family Planning Service Providers Working in High STI/HIV Prevalence Settings Counseling Cards Checklist to be reasonably sure a woman is not pregnant
More informationHEALTH GRADE 11. THE EWING PUBLIC SCHOOLS 2099 Pennington Road Ewing, NJ 08618
HEALTH GRADE 11 THE EWING PUBLIC SCHOOLS 2099 Pennington Road Ewing, NJ 08618 Board Approval Date: August 29, 2016 Michael Nitti Written by: Bud Kowal and EHS Staff Superintendent In accordance with The
More informationTreating Infertility
Treating Infertility WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 About 10% of couples in the United States are infertile. Infertility is a condition in which a woman has not been able
More informationContraception. Objectives. Unintended Pregnancy. Unintended Pregnancy in the US. What s the Impact? 10/7/2014
Contraception Tami Allen, RNC OB, MHA Robin Petersen, RN, MSN Perinatal Clinical Nurse Specialist Objectives Discuss the impact of unintended pregnancy in the United States Discuss the risks and benefits
More informationBirth Control Methods
Birth Control Methods This guide provides useful information to help you and your partner consider pregnancy prevention options. Options are available through the CHS Pharmacy, Women s Health Clinic, and
More informationEvaluation of the Infertile Couple
Overview and Definition Infertility is defined as the inability of a couple to fall pregnant after one year of unprotected intercourse. Infertility is a very common condition as in any given year about
More informationInfertility. Review and Update Clifford C. Hayslip MD Intrauterine Inseminations
Infertility Review and Update Clifford C. Hayslip MD Intrauterine Inseminations Beneficial effects of IUI not consistently documented in studies No deleterious effects on fertility 3-4 cycles of IUI should
More information1.Abstinence no sex (Abstinence only education has been proven ineffective in preventing unwanted pregnancies)
REPRODUCTIVE SYSTEM Objectives: 1. Contraception 2. STDs 1. Ovary Transplants 2. Freezing Eggs 3. Choosing Gender 4. The Male Pill, parts 1&2 5. Male Birth Control: RISUG 6. Birth Control. 1.Abstinence
More informationBIRTH CONTROL METHOD COMPARISON CHART
BIRTH CONTROL METHOD COMPARISON CHART Abstinence 100% Yes Male latex condom 86%-95% Can increase to 98% by using with a contraceptive jelly Yes Highly effective No side effects, as with other methods No
More informationAMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE
AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE INFERTILITY: AN OVERVIEW A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under the direction of the
More informationContraception Effective Methods of Birth Control
Contraception Effective Methods of Birth Control Abstinence Means choosing NOT to have sex It is the ONLY method that is 100% effective It is your right to be in control of your body and say NO What are
More informationSubfertility B Y A L I S O N, B E N A N D J O H N
Subfertility B Y A L I S O N, B E N A N D J O H N Contents Definition Causes Male Female Hx & Ex Investigations Treatment Definition Failure to conceive after a year of frequent, unprotected communion.
More information16 East 40 th St, 2 nd Fl, New York, NY Ph fax
Page 1 of 9 16 East 40 th St, 2 nd Fl, New York, NY 10016 Ph 212-679-2289 fax 212-679-2288 Please complete the following: Fertility Evaluation Name: Date of birth: Age: Partner s Name: Date of birth: Age:
More informationINFERTILITY SERVICES
INFERTILITY SERVICES Protocol: OBG036 Effective Date: August 1, 2018 Table of Contents Page COMMERCIAL COVERAGE RATIONALE... 1 DEFINITIONS... 4 MEDICARE AND MEDICAID COVERAGE RATIONALE... 5 REFERENCES...
More informationAdoption and Foster Care
GLOSSARY Family building via Adoption and Foster Care October 2018 www.familyequality.org/resources A Anonymous Donor: A person who donated sperm or eggs with the intention of never meeting resulting children.
More informationBIOH122 Human Biological Science 2
BIOH122 Human Biological Science 2 Session 22 Female Reproductive System 2 The Reproductive Cycle Bioscience Department Endeavour College of Natural Health endeavour.edu.au Session Plan o The female reproductive
More informationUnintended Pregnancy is Common LEARNING OBJECTIVES. Distribution Of Contraception Use By Women In The Us. Unintended Pregnancy And Contraceptive Use
3:45 4:30 pm Beyond the Pill: Long Acting Contraceptives and IUDs Presenter Disclosure Information The following relationships exist related to this presentation: Christine L. Curry, MD, PhD: No financial
More informationEssure By Mayo Clinic staff
Page 1 of 5 Reprints A single copy of this article may be reprinted for personal, noncommercial use only. Essure By Mayo Clinic staff Original Article: http://www.mayoclinic.com/health/essure/my00999 Definition
More informationReproductive Endocrinology & Infertility Glossary
Reproductive Endocrinology & Infertility Glossary The following is a glossary of terms you may hear during your association with the University of Mississippi Health Care's reproductive endocrinology and
More informationOutline. Male Reproductive System Testes and Sperm Hormonal Regulation
Outline Male Reproductive System Testes and Sperm Hormonal Regulation Female Reproductive System Genital Tract Hormonal Levels Uterine Cycle Fertilization and Pregnancy Control of Reproduction Infertility
More informationInfertility F REQUENTLY A SKED Q UESTIONS. Q: Is infertility a common problem?
Infertility (female factors). In another one third of cases, infertility is due to the man (male factors). The remaining cases are caused by a mixture of male and female factors or by unknown factors.
More informationPuerto Rico Fertility Center
Puerto Rico Fertility Center General Information of the In-Vitro Fertilization Program Dr. Pedro J. Beauchamp First test-tube baby IN PUERTO RICO Dr. Pedro Beauchamp with Adlin Román in his arms. Paseo
More informationFertility 101. About SCRC. A Primary Care Approach to Diagnosing and Treating Infertility. Definition of Infertility. Dr.
Dr. Shahin Ghadir A Primary Care Approach to Diagnosing and Treating Infertility St. Charles Bend Grand Rounds November 30, 2018 I have no conflicts of interest to disclose. + About SCRC State-of-the-art
More informationInformation for Informed Consent for Insertion of a Mirena IUD
Information for Informed Consent for Insertion of a Mirena IUD What is an IUD (intrauterine Device)? An intrauterine device (IUD) is a plastic device that is placed into your uterus to prevent pregnancy.
More informationLISI CARRIERS INFERTILITY COMPARISON
AETNA Diagnostic services for the diagnosis and treatment of the underlying medical condition, and: Infertility Treatment - AI/OI Advanced Reproductive Technology including but not limited to GIFT, ZIFT,
More informationLEARNING OBJECTIVES. Beyond the Pill: Long Acting Contraception. Distribution Of Contraception Use By Women In The Us. Unintended Pregnancy is Common
4:15 5 pm Beyond the Pill: Long Acting Contraceptives and IUDs Presenter Disclosure Information The following relationships exist related to this presentation: Christine L. Curry, MD, PhD: No financial
More informationReproductive Systems. BIOLOGY OF HUMANS Concepts, Applications, and Issues. Judith Goodenough Betty McGuire
BIOLOGY OF HUMANS Concepts, Applications, and Issues Fifth Edition Judith Goodenough Betty McGuire 17 Reproductive Systems Lecture Presentation Anne Gasc Hawaii Pacific University and University of Hawaii
More informationSpecial Parts: Gender. Why Have Sex?
Why Have Sex? Lots of animals clone themselves... 100% of their genes are passed on! Sex requires sharing, it s expensive (time, mate selection, special parts, prenuptial gifts...) So why do it? Special
More informationIntrauterine (IUI) and Donor Insemination (DI) Policy (excluding In vitro fertilisation (IVF) & Intracytoplasmic sperm injection (ICSI) treatment)
Leicester City Clinical Commissioning Group West Leicestershire Clinical Commissioning Group East Leicestershire and Rutland Clinical Commissioning Group POLICY DOCUMENT Intrauterine (IUI) and Donor Insemination
More informationPOLICY & PROCEDURE DEFINITIONS: N/A POLICY:
POLICY & PROCEDURE TITLE: Fertility Regulation Family Planning Scope/Purpose: To offer a wide range of approved methods for Family Planning services Division/Department: : All HealthPoint Clinics Policy/Procedure
More informationReproductive System. Testes. Accessory reproductive organs. gametogenesis hormones. Reproductive tract & Glands
Reproductive System Testes gametogenesis hormones Accessory reproductive organs Reproductive tract & Glands transport gametes provide nourishment for gametes Hormonal regulation in men Hypothalamus - puberty
More informationContraception for Adolescents: What s New?
Contraception for Adolescents: What s New? US Medical Eligibility Criteria for Contraceptive Use Kathryn M. Curtis, PhD Division of Reproductive Health, CDC Expanding Our Experience and Expertise: Implementing
More informationInfertility. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: What causes infertility in men? A: Infertility in men is most often caused by:
Infertility Q: What is infertility? A: Infertility means not being able to get pregnant after one year of trying. Or, six months, if a woman is 35 or older. Women who can get pregnant but are unable to
More information17. Preventing pregnancy
17. Preventing pregnancy Objectives By the end of this session, group members will be able to: Define contraception. List ways young people can prevent pregnancy. Background notes What is contraception?
More informationLecture 14: Conception, Fertility, Early Fetal Loss. provera. Depo-provera. Early Fetal Loss. Implanon. Norplant. Nuva Ring.
Lecture 14: Conception, Fertility, Early Fetal Loss Birth Control (cont.) Conception What Influences Probability of Conception? Early Fetal Loss Infertility Fertility Enhancement Depo-provera provera Injectable
More informationUNDERSTANDING. Permanent Birth Control for Men
UNDERSTANDING VASECTOMY Permanent Birth Control for Men Is Vasectomy for You? Vasectomy is a simple, safe procedure that makes a man sterile (unable to father a child). It s the most effective birth control
More informationIntrauterine Insemination - FAQs Q. How Does Pregnancy Occur?
Published on: 8 Apr 2013 Intrauterine Insemination - FAQs Q. How Does Pregnancy Occur? A. The female reproductive system involves the uterus, ovaries, fallopian tubes, cervix and vagina. The female hormones,
More informationBio 12- Ch. 21: Reproductive System
Bio 12- Ch. 21: Reproductive System 21.1- Male Reproductive System o Male anatomy o Testes and how they relate to sperm production and male sex hormones o Hormone regulation in males 21.2- Female Reproductive
More information5/5/2010. Infertility FINANCIAL DISCLOSURE. Infertility Definition. Objectives. Normal Human Fertility. Normal Menstrual Cycle
Infertility FINANCIAL DISCLOSURE I HAVE NO FINANCIAL INTEREST IN ANY OF THE PRODUCTS MENTIONED IN MY PRESENTATION Bryan K. Rone, M.D. University of Kentucky Obstetrics and Gynecology I AM RECEIVING COMPENSATION
More informationAssisted Reproduction. By Dr. Afraa Mahjoob Al-Naddawi
Assisted Reproduction By Dr. Afraa Mahjoob Al-Naddawi Learning Objectives: By the end of this lecture, you will be able to: 1) Define assisted reproductive techniques (ART). 2) List indications for various
More informationChris Davies & Greg Handley
Chris Davies & Greg Handley Contents Definition Epidemiology Aetiology Conditions for pregnancy Female Infertility Male Infertility Shared infertility Treatment Definition Failure of a couple to conceive
More informationRealizing dreams booklet.indd 1 5/20/ :26:52 AM
Realizing dreams. 18891booklet.indd 1 5/20/2010 11:26:52 AM The Journey To Parenthood The first Gator Baby was born in 1988 through the in vitro fertilization program at the University of Florida. Since
More informationRecent Developments in Infertility Treatment
Recent Developments in Infertility Treatment John T. Queenan Jr., MD Professor, Dept. Of Ob/Gyn University of Rochester Medical Center Rochester, NY Disclosures I don t have financial interest or other
More informationPower Point Use in EBPs. CAPP & PREP Learning Community May 15, 2018
Power Point Use in EBPs CAPP & PREP Learning Community May 15, 2018 Objectives Best practices for power point use Why use power point for EBP delivery Examples: the Good, the Bad and the Ugly Recommendations
More informationBio 3201 Unit 2 REPRODUCTION AND DEVELOPMENT. Cell Division MITOSIS (P )
Bio 3201 Unit 2 REPRODUCTION AND DEVELOPMENT 31 Hours Cell Division MITOSIS (P. 460-469) 1. Describe mitosis in detail; Specifically describe, in detail, the events of interphase, mitosis and cytokinesis
More informationBirth Control. Choosing the method that s right for you
Birth Control Choosing the method that s right for you Contents Family planning services... 1 How to use this brochure... 2 Implant... 3 IUD/IUS... 5 Sterilization... 7 Depo-Provera : The shot...9 Pill/ring/patch...
More informationInfertility treatment
In the name of God Infertility treatment Treatment options The optimal treatment is one that provide an acceptable success rate, has minimal risk and is costeffective. The treatment options are: 1- Ovulation
More informationAndrogens Hormones that are produced by the testes of the male and in small amounts by the ovaries and adrenal glands of the female.
http://www.myfertility.ca/glossary.xhtml (February 27, 2015) Glossary Acrosome This is a membrane-bound cap-like structure found at the head of the sperm. It contains enzymes that are thought to help the
More informationTranscervical Sterilization
Q UESTIONS & ANSWERS A BOUT Transcervical Sterilization A New Choice in Permanent Birth Control Choosing a Birth Control Method Women and their partners now have more birth control choices than ever. How
More informationFamily Planning UNMET NEED. The Nurse Mildred Radio Talk Shows
Family Planning UNMET NEED The Nurse Mildred Radio Talk Shows TOPIC 9: IUD/COIL Guests FP counsellor from MSU, RHU& UHMG Nurse Mildred Nurse Betty Objectives of the programme: To inform listeners about
More informationReproductive Endocrinology and Infertility Rotation Objectives. Reproductive Endocrinology and Infertility Specialists
Reproductive Endocrinology and Infertility Rotation Objectives Reproductive Endocrinology and Infertility Specialists Terry O Grady M.D., FRCSC Sarah Healey M.D., FRCSC Deanna Murphy M.D., FRCSC Sean Murphy
More informationAnimal Reproductive Systems. Chapter 42
Animal Reproductive Systems Chapter 42 Impacts, Issues Male or Female? Body or Genes? Body and genes don t always match male or female characteristics also depend on hormones mutations can result in intersex
More informationالحمد هلل رب العالمين والصالة والسالم علي محمد الصادق الوعد األمين اللهم أخرجنا من ظلمات الجهل والوهم إلى نور المعرفة والعلم..
الحمد هلل رب العالمين والصالة والسالم علي محمد الصادق الوعد األمين اللهم أخرجنا من ظلمات الجهل والوهم إلى نور المعرفة والعلم.. سيدنا 11/6/2013 1 Goals of Family Planning services : 1- Enable women and
More informationInfertility: failure to conceive within one year of unprotected regular sexual intercourse. Primary secondary
Subfertility Infertility: failure to conceive within one year of unprotected regular sexual intercourse. Primary secondary Infertility affects about 15 % of couples. age of the female. Other factors that
More informationContraceptive Technology and Reproductive Health Series: Barrier Methods Post-test
Contraceptive Technology and Reproductive Health Series: Barrier Methods Post-test Section I: Overview of Barrier Methods 1. The following are statements regarding all barrier methods. Please indicate
More informationPatient Past Medical History
Patient Past Medical History A. Identifying Data Date this form when completed Your name Partner's name Age Birth date Height Weight Length of marriage (or relationship) How long have you been trying unsuccessfully
More informationQuestionnaire for Women
Questionnaire for Women General Information Name Date Address Telephone Home _Work _ Cell Birth date Age _ Occupation Ethnic Background _ Height _ Weight _ Highest Education _ Partner s Name Marriage date
More informationBirth Control in Patients with Congenital Heart Disease
Birth Control in Patients with Congenital Heart Disease Arwa Saidi MB. BCh. MEd. FACC University of Florida Departments of Pediatrics and Internal Medicine Gainesville, FL There are an increasing number
More informationMedical Eligibility for Contraception Use
Medical Eligibility for Contraception Use DIVISION OF REPRODUCTIVE HEALTH CENTERS FOR DISEASE CONTROL AND PREVENTION 2016 US Medical Eligibility Criteria for Contraceptive Use (US MEC) Purpose To assist
More informationFDA-Approved Patient Labeling Patient Information Mirena (mur-ā-nah) (levonorgestrel-releasing intrauterine system)
FDA-Approved Patient Labeling Patient Information Mirena (mur-ā-nah) (levonorgestrel-releasing intrauterine system) Mirena does not protect against HIV infection (AIDS) and other sexually transmitted infections
More informationGlobal Contraception
Video Companion Guide Global Contraception Learning Objectives: By the end of the session, learners will be able to: Describe of all contraceptive methods. Develop a basic understanding of patient-centered
More informationPOST - DOCTORAL FELLOWSHIP PROGRAMME IN REPRODUCTIVE MEDICINE. Anatomy : Male and Female genital tract
POST - DOCTORAL FELLOWSHIP PROGRAMME IN REPRODUCTIVE MEDICINE DURATION OF THE COURSE : TWO YEARS Detailed syllabus: Part 1 Basic Sciences: Anatomy : Male and Female genital tract Physiology Endocrinology
More informationContraception: I. Non-Hormonal Methods
Contraception: I. Non-Hormonal Methods Prof. Karim Hassanein I. Abd- El-Maeboud OB/GYN Department Ain Shams University Family Planning A Branch of Reproductive Health Service (RHS). Def.: In advance regulation
More informationContraception Choices: An Evidence Based Approach Case Study Approach. Susan Hellier PhD, DNP, FNP-BC, CNE
Contraception Choices: An Evidence Based Approach Case Study Approach Susan Hellier PhD, DNP, FNP-BC, CNE Objectives Describe the U.S. Medical Eligibility Criteria for Contraceptive Use, 2016 (U.S. MEC)
More informationFertility Treatment: Do not be Distracted
Fertility Treatment: Do not be Distracted Fertility Treatment: do not be distracted by worthless recommendation Fertility Treatment: Do not be Distracted When contemplating options for fertility treatment
More informationBlackpool CCG. Policies for the Commissioning of Healthcare. Assisted Conception
1 Introduction Blackpool CCG Policies for the Commissioning of Healthcare Assisted Conception 1.1 This policy describes circumstances in which NHS Blackpool Clinical Commissioning Group (CCG) will fund
More informationWHAT IS A PATIENT CARE ADVOCATE?
WHAT IS A PATIENT CARE ADVOCATE? Fertility treatments can be overwhelming. As a member, you have unlimited access to a dedicated Patient Care Advocate (PCA), who acts as your expert resource for discussing
More informationMedStar Health, Inc. POLICY AND PROCEDURE MANUAL Policy Number: PA.018.MH Last Review Date: 08/04/2016 Effective Date: 01/01/2017
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL PA.018.MH Infertility- Treatment This policy applies to the following lines of business: MedStar Employee (Select) MedStar MA DSNP CSNP (Not Covered) MedStar
More informationWho s The Daddy? What You Should Know About OTC Contraception
Who s The Daddy? What You Should Know About OTC Contraception By: Vona Broughton, BS Public Health & Kevin McCarthy, RPH This program has been brought to you by PharmCon PharmCon is accredited by the accreditation
More informationInfertility: An Overview
AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE Infertility: An Overview A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under the direction of the
More informationChapter 11. Culturally competent communication key to empowering women to feel confident abut her ability to care for herself and her family
Chapter 11 The Nurse s Role in Women s Health Care Goals of Healthy People 2020 Culturally competent communication key to empowering women to feel confident abut her ability to care for herself and her
More informationNeil Goodman, MD, FACE
Initial Workup of Infertile Couple: Female Neil Goodman, MD, FACE Professor of Medicine Voluntary Faculty University of Miami Miller School of Medicine Scope of Infertility in the United States Affects
More informationInfertility: An Overview
AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE Infertility: An Overview A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under the direction of the
More informationNHS FUNDED TREATMENT FOR SUBFERTILITY. ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs
NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs CONTENTS Page 1. INTRODUCTION 2 2. GENERAL PRINCIPLES 2 3. DEFINITION OF SUBFERTILITY AND TIMING OF ACCESS TO
More informationWhat are the main functions of the male reproductive system? 1. Produce sperm 2. Deposit sperm into the female 3. Provide a pathway for the removal
What are the main functions of the male reproductive system? 1. Produce sperm 2. Deposit sperm into the female 3. Provide a pathway for the removal of urine Where is sperm produced? -In the 2 testes What
More informationReproductive Technology, Genetic Testing, and Gene Therapy
Michael Cummings Chapter 16 Reproductive Technology, Genetic Testing, and Gene Therapy David Reisman University of South Carolina 16.1 Infertility Is a Common Problem In the US, about 13% of all couples
More informationNICE fertility guidelines. Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic
NICE fertility guidelines Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic About the LWC 4 centres around the UK London Cardiff Swansea Darlington The largest sperm bank in
More informationA Couple s Guide to Infertility (Eric Daiter, MD Board Certified in Reproductive Endocrinology and Infertility)
A Couple s Guide to Infertility (Eric Daiter, MD Board Certified in Reproductive Endocrinology and Infertility) The goal of this guide is to provide a medical expert s answers to the common questions:
More informationNon-Hormonal Methods. Contraception Part 2: Non Hormonal Methods and Emergency Contraception. Objectives
Objectives Contraception Part 2: Non Hormonal Methods and Emergency Contraception By the end of this lecture, participants will be able to: Discuss appropriate candidates for the various types of nonhormonal
More informationEmergency Contraception THE FACTS
Emergency Contraception Quick Facts What is it? Emergency contraception is birth control that you use after you have had unprotected sex--if you didn t use birth control or your regular birth control failed.
More informationChapter 11. The Nurse s Role in Women s Health Care
Chapter 11 The Nurse s Role in Women s Health Care Objectives Explain aspects of preventive health care for women. Describe each menstrual disorder and its care. Explain each gynecological infection in
More informationHALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY. CONTENTS Page
HALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY CONTENTS Page 1. INTRODUCTION 2 2. GENERAL PRINCIPLES 2 3. DEFINITION OF SUBFERTILITY AND TIMING OF ACCESS TO TREATMENT 3 4. DEFINITION
More informationInformation Booklet. Exploring the causes of infertility and treatment options.
Information Booklet Exploring the causes of infertility and treatment options www.ptafertility.co.za info@ptafertility.co.za +27 12 998 8854 Faith is taking the first step even if you don t see the whole
More informationInfertility. Thomas Lloyd and Samera Dean
Infertility Thomas Lloyd and Samera Dean Infertility Definition Causes Referral criteria Assisted reproductive techniques Complications Ethics What is infertility? Woman Reproductive age Has not conceived
More informationArdhanu Kusumanto Oktober Contraception methods for gyne cancer survivors
Ardhanu Kusumanto Oktober 2017 Contraception methods for gyne cancer survivors Background cancer treatment Care of gyn cancer survivor Promotion of sexual, cardiovascular, bone, and brain health management
More informationAssisted Conception Policy
Assisted Conception Policy NHS Eligibility Criteria for assisted conception services (excluding In vitro fertilisation (IVF) Intracytoplasmic sperm injection (ICSI) treatment) for people with infertility
More informationWhat to do about infertility?
What to do about infertility? Dr. M.A. Fischer Section Head, Division of Urology, Department of Surgery Assistant Clinical Professor, Department of Obstetrics and Gynecology Hamilton Health Sciences, Hamilton,
More informationVASECTOMY INFORMATION AND CONSENT
VASECTOMY INFORMATION AND CONSENT This information will help you understand more about the vasectomy: the indications for this procedure, the success and failure rates, the alternative forms of contraception,
More information