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Concept_Map_infertility_and_miscarriage_sem_3

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  • July 3, 2022
  • 4
  • 2021/2022
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Concept Map: Infertility


Medical Definition: The inability to conceive after having unprotected sex for 1 year.
Clinical Manifestations:
 Causes: Delaying pregnancy until later in life, endometriosis, antidepressants,
anorexia , chemotherapy, tubal adhesions, vaginal/cervical infections, STD, obesity,
irregular menstrual cycles, excess of androgens, estrogen and cortisol. Drug and
substance use.
Collaborative Care:
 Reproductive Endocrinologists: manage plan of care for couple. Prescribe fertility tests
and treatments.
 Embryologists: create viable embryos for IVF.
 Gynecologist: prescribe fertility medications.
Nursing Diagnosis:
 Ineffective coping related inability to conceive for over a year as evidence by verbal
statements from patient stating that they are stressed.
 Knowledge deficient related to reproduction, contraception and selfcare.
 Anxiety related to the inability to conceive
Nursing Interventions:
 Be nonjudgmental in listening to patients and be open to conversations. Patients are
sharing very sensitive and private information, being closed off will not allow the patients
to open up.
 Perform thorough assessment on couple to get an understanding on what has been tried
and what could possibly be contributing factors to infertility.
 Provide resources to patient to help them financially and or emotionally.
Patient Education:
 Educate the couple on the menstrual cycles and how to detect when ovulation is
occurring.
 Advise the couple that they should have intercourse atleast 2-3 times a weeks and the day
before and day of ovulation.
 Provide emotional support to the couple. Infertility can be stressful to go through.
Diagnostic Studies: -
 Detailed history and physical
 Labs: FSH, LH, prolactin




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