Infertility management in primary care

Thable, Angela; Duff, Elsie; Dika, Cheryl

doi:10.1097/01.npr.0000660356.18430.0a

Cited by 8 publications

(8 citation statements)

References 25 publications

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“…Due to the rising prevalence of male infertility and the delay in child bearing in females, infertility rates are increasing ( Thable, et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of hysterosalpingographic findings among patients presenting with infertility

Toufig

Benameur

Twfieg

et al. 2020

Saudi Journal of Biological Sciences

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Background Infertility is a global health issue and hysterosalpingography (HSG) is a valuable radiological tool in infertility workup and remains a main modality for investigating female infertility. However, the HSG findings of infertility are not the same worldwide. This study aimed at evaluating the incidence of HSG findings in patients investigated for primary and secondary infertility, correlating these findings with their clinical data that reflect the infertility causes and comparing the findings with previous international studies. Methods A prospective descriptive study of 75 female patients referred, as cases of infertility, for HSG examination in Elrebat Hospital and Khartoum Advanced Diagnostic Center. HSG was performed in the first half of the cycle. The procedure and its complications, were explained to the patients and informed consents were obtained. Patients with active pelvic infection and active uterine or vaginal bleeding were excluded from the study. Using aseptic technique and with proper patient’s positioning, iodinated contrast was introduced into the cervix under fluoroscopic monitoring, to demonstrate the uterine cavity, fallopian tubes and free spillage into the peritoneal cavity. Personal data, clinical data and HSG findings were analyzed using SPSS version 23. Results The commonest age group seen was 26–36 years. Close incidences of primary and secondary infertility were detected. 52.7% had abnormal findings in HSG. Tubal pathology (42.7%) being the most common abnormality, followed by uterine and combined abnormalities. There was strong association between past medical history suggesting pelvic inflammatory disease (PID) or past history suggesting tubal blockage secondary to abdominopelvic surgery and tubal abnormalities. Conclusion HSG examinations revealed that the most common abnormality was tubal blockage possibly complicating PID and abdominopelvic surgeries. This reflects the HSG diagnostic and therapeutic role in the assessment of female infertility and the further needs for more preventive measures targeting the reduction of tubal pathologies in developing countries.

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“…Due to the rising prevalence of male infertility and the delay in child bearing in females, infertility rates are increasing ( Thable, et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Female fertility decreases with female age ( Thable, et al, 2020 ). In a recent study, 52.05% of female infertility causes were due to anovulation ( Elhussein et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of hysterosalpingographic findings among patients presenting with infertility

Toufig

Benameur

Twfieg

et al. 2020

Saudi Journal of Biological Sciences

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“…A woman's fertility plays a significant role on her psychological feeling of completeness, (Thable et al, 2020). Female infertility is caused by multiple factors such as ovulation disorders, polycystic ovary syndrome, dysfunctional pituitary gland, fallopian tube blockage, uterine abnormalities, and other unknown factors, which tend to confer a substantial psychological burden leading to several adverse outcomes such as depression, stress, tension and even death on patients (Egbe et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Assessment of Prevalence and Risk Factors of Infertility among Saudi Women: A Cross Sectional Study

Alghamdi

Bahnsawy²,

Afefy³

et al. 2023

IJGHR

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Infertility is a global problem affecting women worldwide. Identifying factors influencing female infertility can help women get successful pregnancies and prevent secondary infertility. The aim of the current study to identify types and assess risk factors of infertility among Saudi women in Riyadh city. A descriptive cross sectional correlational study design was utilized.The researcher developed a questionnaire that comprised of four parts: demographic data, obstetric and gynecological history, medical history, and family history. The data was collected from the patient's medical records using the hospital's BEST care system. The mean age of women was 34.03+ 1.37 years old and half of them 50.4% had a BMI was classified as overweight. Two-third of the women 67.0% had secondary infertility, while one- third 33.0% had primary infertility. Implicated causes among subjects include defect in ovulation was 28.9%, tubal adhesion or obstruction was 7.4%, and male factors was12.6%. There was a statistically significant relationship between types of infertility with age and marital duration,contraceptive methods, duration of contraception used ,causes of infertility and types of drugs for induction of ovulation. Maternal factors as defects in ovulation, tubal adhesion or obstruction, uterine fibroid, pelvic inflammation disease, endometriosis and urinary tract infection and male factors were expressed to be causing infertility. There were risk factors associated with infertility, such as mother age, medical problems, and the types of drugs used to induce ovulation.

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“…It is also important to note that individuals and same‐sex couples seek similar infertility services and desire holistic, person‐centered care (Allan, 2016; Nurse Practitioners in Women's Health (NPWH), 2017; WHO, 2020). The simulated case applies background knowledge from the literature and evidence‐based practice guidelines regarding unexplained infertility and treatment with OS‐IUI using clomiphene (ASRM, 2020; Farquhar et al., 2018; Thable et al., 2020; Vaughan, 2017). Likewise, knowledge informed by the nursing perspective of Barrett's (2020) power theory is translated to practice.…”

Section: Discussionmentioning

confidence: 99%

“…It should be noted that infertility may be an indicator of some other health issue or may portend a risk of future noncommunicable disease (Hanson et al., 2017; Mancuso et al., 2020). For both men and women, other possible causal factors are explored by the primary care provider or reproductive specialist such as hormonal, immunologic, infectious, and genetic factors (Poornima et al., 2020; Thable et al., 2020). Assessments may include health assessment and physical examination such as male and female genitalia, secondary sex characteristics, menstrual and reproductive history.…”

Section: Introductionmentioning

confidence: 99%

One couple's experience with infertility: Nursing theory‐based practice case study

Farren

DiBenedetto

2021

Int J of Nursing Knowl

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Infertility can be devastating for some couples. The purpose of this paper is to demonstrate a translation of knowledge and nursing theory‐based practice regarding nursing care of couples experiencing infertility through a case study approach. It is important to consider the translation of knowledge to probable scenarios so that we may have opportunities to be better prepared when addressing such situations in actual nursing practice. Data sources include current literature, theoretical perspectives on power as knowing participation in change and nursing classifications. Data synthesis is illustrated within the context of a simulated case study of a couple experiencing unexplained secondary infertility through the application of a theory‐based practice methodology, health patterning. The authors conclude that the theoretical perspectives of unitary science and the theory of power as knowing participation in change can be applied in practice. Theory‐based practice methodologies such as health patterning offer an opportunity to provide holistic care to couples experiencing infertility. Using these theoretical perspectives, nurses can engage with couples expressing a readiness for enhanced power for a desired change. Nursing implications include the value of theory‐based practice and the essential view of couples as unique human beings. In addition, it demonstrates the ongoing usefulness of case study approaches for nursing education as vehicles to enhance awareness of unitary experiences, updates to clinical care, and demonstration of the application of theory to practice.

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Infertility management in primary care

Cited by 8 publications

References 25 publications

Evaluation of hysterosalpingographic findings among patients presenting with infertility

Evaluation of hysterosalpingographic findings among patients presenting with infertility

Assessment of Prevalence and Risk Factors of Infertility among Saudi Women: A Cross Sectional Study

One couple's experience with infertility: Nursing theory‐based practice case study

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