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Infertility and hyperectomy (Infertility (Health education (Advise patient…
Infertility and hyperectomy
Infertility
assessment and common findings
Subjective data
Duration of frequent unprotected sexual exposure
Previous pelvic infection
Duration of relationship
Previous abortions and ectopic pregnancies
age of each partner
history of contaceptives
couple should be seen together for complete details of medical history,surgical history,fertility history,urological and gynecologic history
objective data
assess physical stature, height and weight
Assess secondary sexual characteristics
Assess vaginal scars and palpation of any masses
Internal vaginal examination to establish any abnormalities
Risk factors of infertility
Weight being underweight or overweight affect normal ovulation
Smoking increases the risk of miscarriage and ectopic pregnancies it also damages cervix and fallopian tubes
Age quality and quantity of eggs to decline as the age increase
causes
Female
Endometriosis
Tubal linjury
Lack of permeability of cervical mucus which allows penetration of sperm
Presence of fibriods, and cyst in the uterus and in the fallopian tubes
Male
Semen production, volume and density
Motility and morphology
Diagnostic test
A specimen for hormonal analysis
Laparoscopy and hysterosalpingogram to establish uterine structural abnormalities, ovarian cyst and tubal patency
Blood specimen for full Blood Count
Definition
Infertility is an inability of a couple to achieve pregnancy after one year of adequate exposure to unprotected sex
Management
Management depends on the results. For adhesion, tuboplasty through laparoscopy may be done to open the tube, structural deformities require correctional surgery and for hormonal imbalances it requires hormonal supplement
Health education
Advise patient to maintain normal normal weight
Reduce stress
Quit smoking, tobacco has multiple negative effect on fertility.
Limits caffeine
Hyperectomy
Indications
Severe pelvic inflammatory disease
Dysfunctional uterine bleeding where the uterus is bulky
History of endometriosis
irreparable rupture or perforation of the uterus
Cancerous lesions of the cervix
Nursing management
Pre-operative
Explain the need of the operation based on the diagnoses .Provide patient with information about the procedure to be done. Allow patient to express her concerns and fear to promote acceptance.
Provide for for physical need to ensure stability before operation. The patient must be taught breathing, coughing exercises and importance of early ambulation as it promote healing,
Post-operative
Monitor bleeding by recording number of sanitary pads and the amount
Monitor vital signs to exclude shock
Monitor intake and output to prevent urinary retention
Ensure bladder is draining by inserting catheter
Assess bladder distension and restlessness
Types
Salpingectomy Fallopian tubes are removed
oophorectomy ovaries are removed
Definitions
Hysterectomy is a surgical procedure done to remove all or parts of the uterus
Health education
advise patient to rest and must avoid strengthens activities.
Wait six weeks and resume sexual activity
If you experience complications must go to the hospital
Take medication ad prescribed