what medication is prescribed for the treatment of infertility quizlet

Which fertility drug may be prescribed to an infertile client?

2. males = inhibitors of spermatogenesis (anabolic/androgenic steroids, caffeine, CCBs, allopurinol, colchicine, cyclosporine, spironolactone, SMX/TMP) 3. agents that cause hyperprolactinemia = chlorpromazine, haloperidol, metoclopramide, TCAs, cimetidine. treatment of ovulatory disorders. 1. clomiphene.

What are the different types of medical treatments for infertility?

Metformin Infertility Effectiveness Mimic natural gonadotropins to hyperstimulate ovarian follicles in anovulatory or oligoovulatory pts Gonadotropin Role in Infertility

Which is most commonly expressed by infertility clients?

Therefore, bromocriptine (Parlodel) must be prescribed to reduce excessive prolactin levels. Clomiphene (Clomid) is prescribed for ovulation induction and for the treatment of luteal phase inadequacy. Leuprolide acetate (Lupron) is prescribed for the treatment of uterine fibroids. Ganirelix acetate (Antagon) is prescribed for infertility treatment. (B)

Which of the following supplements promote fertility and conception?

Start studying Treatment Options for Infertility. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Search. ... Give her fertility drugs, harvest eggs, take male sperm, mix in petri dish or cut off the tale of the sperm and inject head into the egg so that they know fertilization took place, Watch cell divide and ...

Which fertility drug may be prescribed to treat infertility in a client found to have a hormonal deficiency at the pituitary level?

Which medication used to promote fertility would the nurse identify?

Which drug administered for infertility treatment can cause breast pain?

What is in a fertility drug and how does it work?

Which drugs used in pregnancy?

What is a teratogenic drug?

What's the difference between Clomid and Femara?

How long can you take Femara for fertility?

Does Clomid cause weight gain?

How do I get prescribed Clomid?

What is the best fertility pill to get pregnant?

What are 4 causes for female infertility?

What hormone is used in infertile women?

As part of the regimen, she will take purified follicle-stimulating hormone (FSH) (urofollitropin [Metrodin]). The nurse instructs her that this medication is administered in what form?

What should a nurse do about infertility?

Problems with infertility must be approached realistically. Nurses should not make judgments or give false reassurance. Providing accurate information to the couple is the best response. The nurse should not make statements indicating that problems will be resolved, because this gives a false impression. The tests are not always definitive, so the nurse should not give false reassurance. The nurse should not offer her opinion but instead should state the facts. (C)

What is in vitro fertilization?

In vitro fertilization is a procedure used to bypass blocked or absent fallopian tubes. Tubal embryo transfer places the conceptus into the fallopian tube. Therapeutic insemination uses the partner's sperm or that of a donor and places it directly into the woman. Gamete intrafallopian transfer involves placing the sperm and ova in the fallopian tube. (A)

What is a hysterosalpingogram?

A hysterosalpingogram is an x-ray film on which the uterus and fallopian tubes can be visualized for abnormalities. The procedure can help to determine if the fallopian tubes are blocked. Presence of infection cannot be assessed with a hysterosalpingogram. Abnormalities in endometrial tissue are found when endometrial tissue implants itself outside the uterus and is observed by doing an ultrasound. Diagnostic laparoscopy may be indicated for this condition. (B)

When is clomiphene administered?

In this test, 100 mg of clomiphene (Clomid) are administered to the patient from day 3 to day 10 of the menstrual cycle. Follicle-stimulating hormone (FSH) levels are assessed on the 3rd day and the 10th day after clomiphene (Clomid) is administered.

How long does sperm last?

Sperm remain viable in the female reproductive tract for 48 hours. However, most of them remain potent for 24 hours. The sperm will degenerate after 48 hours and are eliminated from the female reproductive tract. Because the sperm contain food reserves for only 48 hours , they cannot be viable after 72 or 96 hours.

What does it mean when a client realizes that unworthiness and impaired fertility are unrelated?

Acceptance. When a client realizes that unworthiness and impaired fertility are unrelated, the client shows acceptance (resolution). Guilt may cause the client to express feelings of responsibility for having somehow caused the infertility. The client might say, "It can't happen to me!".

What is the most commonly used ovulation stimulant?

Clomiphene citrate (CC) is the most commonly used ovulation stimulant. For women diagnosed with hyperinsulinemia, clomiphene is a first-line drug for ovulation induction and may be used in combination with metformin.

What is the cause of infertility?

Infertility is caused by a dysfunction of the reproductive system that results in the inability to reproduce. Ovulatory dysfunction disorders, including polycystic ovary syndrome (PCOS) and other metabolic syndromes, are the leading cause of infertility in women. This lesson will focus on the use of women's fertility drugs as an intervention for infertility and on the nursing care appropriate for women receiving fertility drugs. A thorough health history of the patient and couple and an accurate diagnosis of the infertility problem or problems are essential to the successful treatment of infertility resulting in pregnancy.

What are the interventions of a nurse?

Nursing interventions include teaching couples how to increase the probability of fertilization. Nurses should ensure couples' understanding of the menstrual cycle, ovulation patterns, ovulation symptoms, temperature changes during ovulation, and use of ovulation kits. Nurses should also provide information regarding medication administration and compliance.

What is the desired outcome of CC treatment in infertility?

The desired outcome for CC treatment in infertility is for the patient to become pregnant, resulting in the birth of an infant. If this outcome is not obtained, alternatives to childbearing should be discussed and appropriate support should be arranged to avoid adverse impact of the failed treatment on the couples' self esteem and/or harm to their relationship. The couple should be encouraged to express feelings and voice concerns about treatment success and/or failure throughout the entire experience.

How to help a couple with infertility?

Help the couple discuss their feelings in a safe, supportive environment. It is particularly important that the couple's interpretation of their infertility be explored, along with its impact on their relationship.

Why should medication be taken at the same time daily?

Instruct the patient that medication should be taken at the same time daily. This creates steady blood levels and enhances drug effectiveness.

Why is it important to teach the importance of adhering to the medication regimen?

Teach the importance of adhering to the medication regimen to help minimize any adverse physical, psychological, emotional, and spiritual effects.

What is the name of the medication for endometriosis?

The client who is infertile and diagnosed with endometriosis is prescribed leuprolide (Lupron), a GnRH medication. Which information should the nurse discuss with the client? (Select all that apply)

What is ovarian hyperstimulation?

Ovarian hyperstimulation syndrome involves marked ovarian enlargement with exudation of fluid into the woman's peritoneal and pleural cavities. This syndrome can result in ovarian cysts that may rupture, causing pain.

How much should estrogen be increased before a pretreatment?

The serum estrogen level should increase three to four times the pretreatment baseline if the medications are effective and the client may be able to get pregnant.

Does progesterone help with implantation?

Progesterone enhances the receptivity of the endometrium to implantation - the function of progesterone in the body - and is the scientific rationale for administering supplemental progesterone to a client preparing fro in vitro fertilization.

What is magnesium sulfate used for?

Magnesium sulfate. Answer: 4 Magnesium sulfate is used to prevent preterm labor in pregnant women with hypertension. To reduce magnesium toxicity caused, calcium gluconate should also be prescribed to counter the effects of this drug.

Why is antibiotic ointment given?

The antibiotic ointment is administered prophylactically to prevent the development of ophthalmia neonatorum, which may be contracted during a vaginal birth to a mother with gonorrhea, chlamydia, or both infections. Cytomegalovirus, toxoplasmosis, and rubella are contracted by the fetus in utero during various stages of pregnancy, not during birth. Erythromycin ophthalmic ointment would be ineffective treatment for these conditions.

When to administer oral medication to client?

Administer oral drugs to the client when the client wakes up along with six glasses of water. Correct: 1, 2, 3. The nurse should monitor the client's vital signs to minimize the risk of hypotension. Journal tracking of medication helps to ensure the regular administration of the drug.

Should you take a drug after breastfeeding?

Drugs should be taken immediately after breastfeeding so that the concentrations of the drug will be low or nonexistent in the next feeding. Drugs that are least likely to affect the infant are preferred. Breast-feeding should be avoided if sustained drugs are taken because they remain for a longer time in plasma.

What is the name of the medication that an infertile woman is about to begin?

An infertile woman is about to begin pharmacologic treatment. As part of the regimen, she will take purified FSH (Metrodin). The nurse instructs her that this medication is administered in the form of what?

How to help a couple with infertility?

Although talking about their feelings may unburden them of negative feelings, infertility can be a major stressor that affects the couples relationships with family and friends. Limiting their interactions to other infertile couples may be a beginning point for addressing psychosocial needs. However, depending on where the other couple is in their own recovery process, limiting their interactions may not be of assistance to them. Telling the couple to start adoption proceedings immediately is not supportive of the psychosocial needs of this couple and may be detrimental to their well-being.

What is the best treatment for uterine fibroids?

Leuprolide acetate is used to treat endometriosis and uterine fibroids. Anovulatory cycles are treated with Clomid, Serophene, Pergonal, or Profasi, all of which stimulate ovulation induction. Metrodin is used to treat PCOD. Progesterone is used to treat luteal phase inadequacy.

What is IVF-ET?

In vitro fertilizationembryo transfer (IVF-ET) is a common approach for women with blocked fallopian tubes or with unexplained infertility and for men with very low sperm counts. A husband and wife have arrived for their preprocedural interview. Which explanation regarding the procedure is most accurate?

Why does male infertility decrease fertility?

Male infertility is more often caused by unfavorable sperm production attributable to endocrine dysfunction or cumulative metabolic disease.

How are women's eggs collected?

A womans eggs are collected from her ovaries, fertilized in the laboratory with the partners sperm, and transferred to her uterus after normal embryonic development has occurred. Transferring a donor embryo to the womans uterus describes the procedure for a donor embryo. Inseminating the woman with donor sperm describes therapeutic donor insemination. Telling the client not to worry discredits the clients need for teaching and is not the most appropriate response.

What supplements can help with ovulation?

Ovulation therapy may have better outcomes when supplemented by black cohosh, progesterone, or plant estrogens. Antioxidant vitamins E and C, selenium, zinc, coenzyme 10, and ginseng have been shown to improve male fertility. Although most herbal remedies have not been clinically proven, many women find them helpful. They should be prescribed by a health care provider who has knowledge of herbalism.

Why do we need prescriptions for IVF?

These medications are used to prepare the body for treatment, to increase the probability that an adequate number of healthy eggs will be released from the ovaries, and to improve your chances of establishing and maintaining a pregnancy.

What is the best medication for ovarian stimulation?

Some do so a little, some do so a lot. Clomiphine Citrate.

How does menopausal gonadotropin affect ovulation?

Human menopausal gonadotropins work to trigger the release of LH and FSH in the body. This, in turn, stimulates ovulation. The acute rise of LH, also called the LH surge, about 14 days into a women’s cycle triggers the ovaries to release eggs during ovulation, the development of the corpus luteum, and the secretion of progesterone to prepare the endometrium for possible implantation and help to sustain pregnancy. hMG has also shown to improve egg quality.

Why is LH important for infertility?

In women, LH stimulates the ovaries to produce estradiol. Low levels of LH can be a cause of infertility, because insufficient LH will prevent ovulation . Human menopausal gonadotropins work to trigger the release of LH and FSH in the body. This, in turn, stimulates ovulation.

Why use a GnRH antagonist?

Using a GnRH antagonist allows us to instantaneously halt the secretion of LH in the body, thereby controlling the process of egg development and allowing us to retrieve the eggs at the best time to ensure your treatment has the greatest chance for success.

What is IVIG therapy?

IVIG therapy is recommended for fertility patients who have recurrent implantation failure or recurrent pregnancy loss. IVIG therapy is thought to repress a woman’s immune system, which may be attacking the embryo or fetus, mistaking it for a foreign body. IVIG is made up of human antibodies, derived from washed and processed donor blood. It is not clear exactly how IVIG works, but studies suggest that it may reduce the number of natural killer (NK) cells in the body, and/or may absorb or block a woman’s antibodies, which are causing the body to attack the pregnancy.

What is Prograf used for?

Prograf is an immunosuppressant originally created as an anti-rejection drug for organ transplant recipients. Because the immune system is believed to play a role in infertility, Prograf is prescribed to women with a history of recurrent pregnancy loss or implantation failure.