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22 Cards in this Set
- Front
- Back
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female infertility assessment: age |
age greater than 35 years can affect fertility |
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female infertility assessment: duration of infertility |
more than 1 year of coitus without contraceptives. for women over the age 35 or who have a known risk factor, the recommendation is for 6 months |
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female infertility assessment: surgical history |
particularly pelvic and abdominal procedures |
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female infertility assessment: obstetric history |
past episodes of spontaneous abortions. other obstetric assessments should include an evaluation of hormone levels throughout the client's cycle. this can provide information about anovulation, amenorrhea, and premature ovarian failure |
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female infertility assessment: gynecologic history |
abnormal uterine contours or any history of disorders that can contribute to the formation of scar tissue that can cause blockage of ovum or sperm |
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female infertility assessment: sexual history |
intercourse frequency, number of partners across the lifespan, and any history of STIs |
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female infertility assessment: occupational/environmental exposure risk assessment |
exposure to hazardous teratogenic materials in the home or at a place of employment |
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female infertility assessment: weight |
overweight or underweight. nutritional deficiencies, such as anorexia, can contribute to infertility |
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female infertility assessment: substance use |
alcohol, tobacco, heroin, methadone |
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male infertility assessment: medical history |
mumps, especially after adolescence; endocrine disorders; genetic disorders; and anomalies in the reproductive system |
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male infertility assessment: sexual history |
intercourse frequency, and history of STIs |
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male infertility assessment: substance use |
alcohol, tobacco, heroin, methadone |
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male infertility assessment: occupational/environmental exposure risk assessment |
exposure to hazardous teratogenic materials in home or work environment, exposure of scrotum to high temperatures |
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female infertility diagnostic procedures: pelvic examination |
assesses for uterine or vaginal anomalies |
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female infertility diagnostic procedures: hormone analysis |
evaluates hypothalamic-pituitary-ovarian axis to include serum prolactin, FSH, LH, estradiol, progesterone, and thyroid hormones |
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female infertility diagnostic procedures: postcoital test |
evaluates coital technique and mucus secretions |
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female infertility diagnostic procedures: ultrasonography |
a transvaginal or abdominal ultrasound procedure performed to visualize female reproductive organs |
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female infertility diagnostic procedures: hysterosalpingography |
outpatient radiological procedure in which dye is used to assess the potency of the fallopian tubes. assess for history of allergies to iodine and seafood prior to beginning the procedure |
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female infertility diagnostic procedures: hysteroscopy |
a radiographic procedure in which the uterus is examined for signs of defect, distortion, or scar tissue that can impair successful impregnation |
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female infertility diagnostic procedures: laparoscopy |
a procedure in which gas insufflation under general anesthesia is used to observe internal organs |
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male infertility diagnostic procedures: semen analysis |
in 40% of couples who are infertile, inability to conceive is due to male infertility. this test is the first in an infertility workup because it its less expensive and less invasive compared with female infertility testing. it can need to be repeated. |
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male infertility diagnostic procedures: ultrasonography |
an ultrasound procedure is performed to visualize testes and abnormalities in the scrotum. a transrectal ultrasound procedure is performed to assess the ejaculatory ducts, seminal vesicles, and vas deferens |
