Fertility and Infertility: The Purpose of Reproduction: Students' Worksheet
Fertility and Infertility: The Purpose of Reproduction: Students' Worksheet
Fertility and Infertility: The Purpose of Reproduction: Students' Worksheet
Contributors :
Nurul Hidayati, dr., M.Sc
Hermawan Wibisono, dr., Sp.OG
Fakultas Kedokteran
Universitas Brawijaya
2014
INFERTILE
parturition
Quality and quantity
of Sperm
F
E
sperm
R
T
pregnanc
y
ovum
L
development
implantation
fertilization
ovulation
vagina
uterus
oviduct
t
FUNCTION
Of
Reproduc
tive System
ovary
List of topics
- Fertility and Infertility from biological aspect
- Social determinants and consequences of Family Planning and infertility
- Hormonal Drugs
- Establishing infertility from medical check up
Module tasks
1. When will I become a mother ? (estimated time 15)
One beautiful woman, Srikandi, a 33 year old nulligravida female with history of
infertility for two years came to your private clinic to do her second visit of medical
consultation with you. Srikandi brough you her result of hystersalpinogram showing
you that her fallopian tubes were open with normal uterine cavity. Previous history
taking reminding you that Srikandi had significant gynecology history for menarche at
age 14, and regularly occuring menstrual cycles at 28-30 days intervals without any
complaints. You were asking her to come with her husband together but she could only
2
come alone again. Srikandis husband believed that he would not have problem of
being sterile as he had a big family whereas Srikandi was the only child in her family. As
Srikandi live with her parents in law, she felt underpressure without the present of baby
in her small family. She would do anything to have a baby to defend her long-life
marriage. Srikandi might need your help with such explanation about her current
condition. You could help her by answering the following guidance of explanation :
a. Do you think Srikandi is suffering of primary or secondary infertility ? give
confidential reasons for your preference answer
b. What do you think about chance of Srikandi to bear offspring? give confidential
reasons for your preference answer. How about her husband ?
c. How to confirm that someone is suffering of infertility ?
d. Lists some possible causes influencing both male and female infertility, specific
female causes and specific male causes for the infertility ! and, in context of Srikandi
case, which causes might present ?
e. If Srikandi insist to do any effort to have her own baby, what would stages of
medical intervention she should take ? explain in details
f. What are the consequences of infertility to the health status and well being of
mother, couples, family and society
g. What are the social determinants that influences the burden of infertility problem to
the well being of mother, couples, family and society
h. What would you suggest as the intervention strategy to control the social impact
(explain by identifying the health problem, risk factor, contributing risk factor; goal,
objective, sub objective, strategy and target population in each)
2. A lot of kids a lot of luck
One other beautiful woman, Nawangwulan was a 27-year old breastfeeding
mother came to your private clinic while bringing her 6-month old cute baby. Applying
an exclusive breastfeeding with requency of at least 9 times a day to her baby,
Nawangwulan was still not confident whether the breastfeeding would prevent her to
get pregnant. Marrying Arjuna, her husband, about last ten years, Nawangwulan had
already gave him five children including the baby. Although her husband, would be
happy having many kids, Nawangwulan felt tired in passing all the process. She was very
busy in taking care all the children. She asked your help to find any contraception
intervention suitable to her current condition.
a. In selecting the most suitable contraception, what condition of Nawangwulan
should be considered ?
b. According to your above answer, why should we consider it? What clinical
implication might occur for inappropriate selection of contraception ?
c. What the specific feature of contraception required to select the most appropriate
one for Nawangwulan ?
d. List examples of the recommended contraception for Nawangwulan !
e. What are the social determinant (behavior, husband, and acceptance) that need to
be considered when choosing the right contraception method
f. Explain the public health program related to this problems
g. Provide a communication steps for this case.
3. Ways to be infertile
In group of three person, you are assigned to complete task 3 to identify various
problems leading to infertility. The question sheet is available to your tutor