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Subject-Obstetrical and Gynecological Nursing: Topic

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RECENT ADVANCEMENT OF INFERTILITY 3 LUTENISED UNRUPTURED FOLLICULAR SYNDROME 3 HORMONAL FACTOR- pituitary gland

MANAGEMENT (TRPPED OVUM) = In this condition the ovum is dysfunction Hyperprolactinaemia


trapped inside the follicle which get lutinised and hypothalamic disorder
4 COMBINED FACTOR= Anxiety,
4 DECREASE OVARIN RESERVE TUBAL AND PERITONEAL apprehension , inadequate or
FACTORS = infrequent inter course , sexual
intercourse , immunological factor
 Perituabal adhesion
.&psychological and substance
 Endosalpingeal damage
abuse , education ,STI ..
 Previous tubal surgery
 Tubal endometriosis
 Polyps or mucus debris within the tubal
SUBJECT-OBSTETRICAL 
lumen ,or tubal spasm
Peritoneal infection
AND GYNECOLOGICAL 5 Uterine and Cervical Disorders: Benign

NURSING growths such as fibroids on the uterine wall


can interfere with the attachment of
embryo to the wall of the uterus and
TOPIC thereby cause problems in
conception.Abnormalities in cervix shape or
change in the texture of cervical mucus can
ETIOLOGY OF FEMALE INFERTILITY make the movement of sperm from vagina to
uterus extremely difficult.
ETIOLOGY OF FEMALE INFERTILITY
6 VAGINAL FACTORS
OVULATION FACTOR=
Atresia vagina
1 ANOVULATION OR OLIGOOVULATION = the ovarian  Transverse vaginal septum,
activity totally depend on the gonadotrophins  septate vagina or narrow introitus
and the normal secretion depend upon the GnRH causing dysparenia
From hypothalamus . Ovarian dysfunctional is  vaginitis and purulent discharge
liked to be linked with disturbed hypothalmo- 7 OTHER FACTOR =
pituitary- ovarin AXIS 1 ADVANCE AGE- more than 35 years
the reproductive year progress ,
2 LUTEAL PHASE DEFECT =IN this condition there the no. and quality of the egg
inadequate function of the corpus luteum . there diminish . the chance of having a PRESENTED BY- BHAWNA
is inadequate progesterone secretion . the life
span of corpus luteum is shortened to less than
baby decrease by 3 -5 %
JOSHI
2 CHRONIC ILL HEALTH
10 days .as a result there is inadequate
secretory changes in the endometrium ,which MSC.NURSING 1ST YEAR
hinder implantation .
SNSR

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