Diagnosis and Management of Infertility

Denson, Vicki

doi:10.1016/j.nurpra.2006.03.019

Cited by 12 publications

(27 citation statements)

References 2 publications

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“…However, this action also may negatively affect endometrial development and cause cervical mucus to become thick and tacky, making it difficult for sperm travel 45 . Clomiphene citrate is indicated for anovulatory women and women with ovulatory infertility who are normogonadotropic, normoprolactinemic, and euthyroid 46 . Women may be advised to start clomiphene citrate on cycle day 3 or 5, according to their schedules and availability, and to take the daily dose at the same time of day for 5 consecutive days 47,48 .…”

Section: Managementmentioning

confidence: 99%

“…Women may be advised to start clomiphene citrate on cycle day 3 or 5, according to their schedules and availability, and to take the daily dose at the same time of day for 5 consecutive days 47,48 . Limiting its use only to days 5 through 9 of the menstrual cycle may help reduce the risk of multiple gestation 46 . Clomiphene citrate may delay the LH surge and cause ovulation to happen a couple of days later than it would in a typical cycle, so it is recommended that women monitor their cycles with ovulation prediction kits or natural procreative methods in order to time intercourse effectively.…”

Section: Managementmentioning

confidence: 99%

“…Clomiphene citrate may delay the LH surge and cause ovulation to happen a couple of days later than it would in a typical cycle, so it is recommended that women monitor their cycles with ovulation prediction kits or natural procreative methods in order to time intercourse effectively. Treatment begins with a dose of 50 mg and may be titrated to 100 mg for 5 days if ovulation does not occur with the first cycle treatment 46–48 . Although the dose may be titrated in 50 mg increments to a maximum of 250 mg, the majority of women will conceive with 50 mg or 100 mg; if conception is not successful at these doses after 3 cycles of clomiphene citrate, letrozole therapy or referral to specialty care is indicated 47 .…”

Section: Managementmentioning

confidence: 99%

“…A transvaginal ultrasound should be obtained, and if a cyst is documented, another cycle should not be initiated until the cyst has resolved. The risk of severe ovarian hyperstimulation with clomiphene citrate use is very uncommon 46 …”

Section: Managementmentioning

confidence: 99%

“…47,48 Limiting its use only to days 5 through 9 of the menstrual cycle may help reduce the risk of multiple gestation. 46 Clomiphene citrate may delay the LH surge and cause ovulation to happen a couple of days later than it would in a typical cycle, so it is recommended that women monitor their cycles with ovulation prediction kits or natural procreative methods in order to time intercourse effectively. Treatment begins with a dose of 50 mg and may be titrated to 100 mg for 5 days if ovulation does not occur with the first cycle treatment.…”

Section: Clomiphene Citratementioning

confidence: 99%

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Infertility: Evaluation and Initial Management

Koroma¹,

Stewart²

2012

J Midwife Womens Health

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Treating the infertile client with competence and compassion is within the scope of practice for advanced practice clinicians. However, due to both a lack of emphasis on infertility treatment in many advanced practice education programs and confusion regarding diagnosis and treatment by many practitioners, infertility is often undertreated by these providers. A basic infertility evaluation, patient counseling, and prescriptive therapy with oral ovulation-inducing agents by a knowledgeable practitioner is cost-effective and may result in successful pregnancy in women who otherwise may not be adequately and quickly treated prior to referral to a reproductive endocrinologist. A diagnosis of infertility is often stressful and frustrating for a couple. Midwives and advanced practice nurses are uniquely qualified to provide both compassionate care and competent treatment during this time. This article provides the clinician with an overview of infertility diagnosis, evaluation, and initial management with lifestyle modifications and oral ovulation-inducing agents.

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Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Clomiphene Citratementioning

confidence: 99%

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Infertility: Evaluation and Initial Management

Koroma¹,

Stewart²

2012

J Midwife Womens Health

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İnferti̇li̇teni̇n Sosyokültürel Ve Ekonomi̇k Durumla İli̇şki̇si̇

et al. 2019

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Bu çalışmanın amacı; infertil ve fertil kadınların sosyokültürel ve ekonomik durumlarını karşılaştırmak, bu etkilerin infertilite etyolojisindeki yerini belirlemektir. Gereç ve Yöntem: Bozok Üniversitesi Tıp Fakültesi Hastanesi jinekoloji polikliniğine başvuran 64 infertil ve 65 infertil olmayan toplam 129 kadına anket uygulanmıştır. Bu anket yaş, meslek, eğitim ve gelir düzeyi yanında aile tipi, ilişki sıklığı, infertilite süresi, ovulasyon zamanı farkındalığı ve stres düzeyini sorgulayan 16 sorudan oluşmaktadır. Bulgular: İnfertil kadınların yaş ortalaması 27.8±5.2, kontrol grubunun 32.0±5.1 idi ve gruplar arasında istatistiksel olarak anlamlı farklılık vardı (p<0.001). İnfertil kadınların ortalama evlilik süresi kontrol grubuna göre anlamlı olarak daha düşük saptandı (p<0.001). İnfertil kadınların infertilite süresi ortalama 3.2±2.7 yıl olarak bulundu. Aile tipi değerlendirildiğinde infertil grupta kontrol grubuna göre anlamlı olarak daha fazla oranda geniş aile yapısı mevcuttu (p=0.021). Katılımcıların ovulasyon zamanı farkındalığı infertil grupta istatistiksel olarak anlamlı oranda daha yüksek saptandı (p=0.002). Sonuç: Çalışmamızda özellikle yaşam tarzı geniş aile yapısında olanlarda, eğitim düzeyi ve gelir düzeyi düşük olanlarda infertilitenin daha fazla görüldüğü tespit edilmiştir. Bu nedenle, yaşam tarzında yapılacak bazı değişiklikler, eğitim düzeyinin ve gelir düzeyinin artışı infertilite sıklığında azalmaya neden olabilir.

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Determination of Sexual Distress and Sexual Life Quality in Infertile Women

Turan¹,

Çeli̇k²

2021

Journal of Anatolia Nursing and Health Sciences

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Aim:The aim of this study is to evaluate the sexual distress, quality of sexual life and the relationship between them in infertile women. Method: This cross-sectional study was conducted at the infertility polyclinic of a university hospital located in an eastern city of Turkey between June 2016 and January 2018. The study sample included 198 infertile female patients who consented for participation in the study, fulfilled the inclusion criteria, and visited the polyclinic between 30th June and 30th September 2016. The Questionnaire, Female Sexual Distress Scale, and Sexual Quality of Life Scale-Female were used to collect the data. Results:The mean score on the Sexual Distress Scale was 10.37±9.01 and mean score on the Sexual Quality of Life-Female Scale was 71.79±19.46. In women without sexual distress, the mean score on the Sexual Quality of Life-Female Scale was 86.70±8.06, whereas for women with sexual distress, the mean score on the Sexual Quality of Life-Female Scale was 58.32±16.73. The difference between the groups was found to be statistically significant (p<0.05). In addition, a significantly strong negative correlation was found between the mean scores on the Sexual Distress Scale and Sexual Quality of p<0.001). Conclusion: Although about half of the infertile women were under sexual distress, their sexual distress levels were low, and their sexual quality of life was relatively high. Women under sexual distress were found to have low sexual quality of life. As the level of sexual distress increased, the sexual quality of life decreased significantly.

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Diagnosis and Management of Infertility

Cited by 12 publications

References 2 publications

Infertility: Evaluation and Initial Management

Infertility: Evaluation and Initial Management

İnferti̇li̇teni̇n Sosyokültürel Ve Ekonomi̇k Durumla İli̇şki̇si̇

Determination of Sexual Distress and Sexual Life Quality in Infertile Women

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