INFERTILITY ( MALE & FEMALE)
- Male factor
- coital problems (Frequency, erection,psychological)
- Maternal age
- Ovulatory ( PCOS, POF, Pituitary adenoma)
- Tubal (PID, tubal damage, pelvic adhesions)
- Endometriosis, Uterine adhesions, polyps, myoma
- cervical polyps
- unexplained
HISTORY
- confidentiality & consent ( I may ask you some personal and sensitive questions, is that alright?)
- Any previous pregnancies/ miscarriages
- previous relationships/ about the partner
- how long have you been trying to conceive?
- Relationship between you and your partner?
- any problems during sex - erection/ retrograde ejaculations/ regular sex/ awareness about fertile periods
(Ask these basic questions prior to moving to exclude any pathology)
- 5 P - periods - last LMP, partner, pills/ contraception, Pap test/STI/PID/Pelvic infections
- any weather preferences
- milky discharge from nipples, headache,visual disturbances
- acne, hirsuteness,voice change, weight change
- Change in diet/ exercise
- hot flushes/mood swings (menopausal symptoms)
- past medical history - DM, Thyroid, high blood pressure, chronic illness ( male - mumps, trauma
- gynecological procedure
- family history of sub fertility, POF
MANAGEMENT
REDUCED FREQUENCY OF INTERCOURSE
- Frequency - at least 3 times/ week
- idea about menstrual cycle and fertility period - calculate, plotting temperature, consistency of mucus
- investigations -
Midluteal progesterone
Sperm antibody screening
TVS
Hysteroscopy/ hysterosalphingography
Ovulation tests
- referral to gynecologist/ fertility clinic (where scans and further tests will be decided)
- most of the cases - cause is not known, even everythings failed options are available. (IVF/ICSI/Surrogacy?adoption)
- reduce stress, social worker if needed, counselling with partner, offer partner check up
- Take folic acid, review with investigation, and decision on referral - next visit
Good day to all am so happy sharing this great testimony on here, I was diagnose of Stage IV colon cancer.i was checking for solution in the internet then miraculously i came Across Dr Itua herbal center the powerful herbal doctor that Cure Numerous Diseases such as-Thyroid Cancer,Uterine cancer,Fibroid,Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Sclerosis,Brain Tumor,Fibromyalgia,Fluoroquinolone ToxicityBladder cancer,Brain cancer,Hiv,Herpes,Esophageal cancer,Gallbladder cancer,Gestational trophoblastic disease,Head and neck cancer,Hodgkin lymphoma
ReplyDeleteIntestinal cancer,Kidney cancer,Hpv,Lung cancer,Melanoma,Mesothelioma,Multiple myeloma,Neuroendocrine tumors
Non-Hodgkin lymphoma,Oral cancer,Ovarian cancer,Sinus cancer,Hepatitis A,B/C,Skin cancer,Soft tissue sarcoma,Pancreatic Cancer,Spinal cancer,Stomach cancer,Vaginal cancer,Vulvar cancer,
Testicular cancer,Tach Diseases,Leukemia,Liver cancer,Throat cancer,
Syndrome Fibrodysplasia Ossificans ProgresS sclerosis,Alzheimer's disease,Chronic Diarrhea,Copd,Parkinson,Als,Adrenocortical carcinoma Infectious mononucleosis. ,I contacted him based on the testimonies I?m seeing about him on the internet, I was cured too by him, kindly contact him today through his email he can help you. drituaherbalcenter@gmail.com web and his herbal medicines will set you free from any human diseases,all thank you Dr Itua herbal center for your kind help in my life. His Mobile number Whatsapp.+2348149277967.