infertility & it's management
TRANSCRIPT
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PRESENTED BY:-Abhilasha VermaM.Sc. Prev. 2015-16SMS Nursing College (Jaipur)
PRESENTATIONON
FEMALE INFERTILITY
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DEFINITION:
“ Infertility refers to inability to achieve pregnancy after 12 months of having unprotected sexual intercourse with average frequency of 3 to 4 times per week without use of any birth control measure”
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TYPES OF INFERTILITY:
PRIMARY INFERTILITYSECONDARY
INFERTILITY
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ETIOLOGY:
1. •MALE FACTORS
2. •FEMALE FACTORS
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FEMALE FACTOR
OVARIAN FACTORS
TUBAL & PERITONEAL FACTORS
UTERINE FACTORS
CERVICAL FACTORS
VAGINAL FACTORS
COMBINED FACTORS
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MALE FACTOR INFERTILITY
DEFECTIVE SPERMATOGENESIS
OBSTRUCTION OF EFFERENT DUCT
FAILURE TO DEPOSITE SPERM
SEMINAL FLUID ERRORS
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RISK FACTORS• Age• Smoking• Over weight• Over exercising• STDs• Frequency & timing of sexual intercourse• Mental stress
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DIAGNOSTIC INVESTIGATIONS• History collection• General physical examinations• Gynaecological examinations• Cervical mucus study• Hormone estimation• Endometrial biopsy• Sonography• Rubin’s test• Hystero Salpino Graphy [ HSG]
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MANAGEMENTGENERAL INSTRUCTIONS-• Maintenance of body weight.• Avoid smoking & alcohol.• Maintain ideal coital frequency.[ 3-4 times / week in fertile period]• Use of LH surge kit.• Avoid lubricants, spermicidal jellies and creams.• Avoid fertility impairing medications.• Psychological support.
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MANAGEMENT OF FEMALE INFERTILITY
MEDICATIONS ART SURGERY
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SURGERY• Surgical removal of tumor
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BALLOON TUBOPLASTY
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FIMBRIOPLASTY
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ADHESIONOLYSIS
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ASSISTED REPRODUCTIVE TECHINQUES
“Assisted reproductive techniques involving direct retrieval of oocyte from ovary , manipualtion of gametes and embroyos outside body for purpose of establishing pregnancy”
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TYPES OF ART1. IUI [ Intra Uterine Insemination]
2. IVF- ET [ In vitro fertilization & Embryo Transfer]
3.GIFT [ Gamete Intra fallopian Transfer]
4.ZIFT [ Zygote Intra Fallopian Transfer]
5. ICSI [ Intra Cytoplasmic Sperm Injection]
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INTRA UTERINE INSEMINATION
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IVF-ET
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INVITRO FERTILIZATION AND EMBRYO TRANSFER [ IVF-ET]
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GAMETE INTRA FALLOPIAN TRANSFER ( GIFT)
• GIFT is similar to IVF but the difference is that in IVF technique fertilization done in vitro & embryo is transferred and in GIFT sperm and oocytes are mixed in vitro & fertilization done in vivo. Done in case if male don’t have capacities to ejaculate deeply.
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ZYGOTE INTRA FALLOPIAN TRANSFER ( ZIFT)
• Egg cells removed and fertilized in laboratory and zygote placed in fallopian tube following day 1 of IVF.
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INTRA CYTOPLASMIC SPERM INJECTION ( ICSI)
• Sperm injected directly into egg cell.• Done in case of male factor infertility.
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THANK YOU