What is luteal phase deficiency (LPD)?
Luteal phase deficiency (LPD) is a clinical diagnosis associated with an abnormal luteal phase length of ≤10 days. Potential etiologies of LPD include inadequate progesterone duration, inadequate progesterone levels, or endometrial progesterone resistance. LPD has not only been described in associat …
What is the most suitable infertility treatment option for the client?
Because the client's fallopian tubes are damaged, in vitro fertilization (IVF) will be the most suitable infertility treatment option for the client. With in vitro fertilization (IVF), ova are removed surgically from the client, fertilized outside the uterus, and reintroduced into the uterus.
Do not administer menstruation-inducing medication to a client who is menstruating?
Do not administer menstruation-inducing medication to the client for the next 4 months. The client has been experiencing amenorrhea, or the absence of menstrual periods in women of reproductive age, which is common immediately following the discontinuation of oral contraceptives.
How can a nurse assist a client with reduced fecundity?
Because of this condition, the nurse can assist the patient by informing her about fertilization treatments like egg donation. Fecundity means the ability to reproduce. Because the client has already had a pregnancy, the client does not have reduced fecundity.
How to know if you have a luteal phase defect?
It may be hard for your doctor to pinpoint luteal phase defect as the source of your problems. There's no single test that can diagnose it. They may suggest blood tests that can help figure out what's happening, such as ones that check your levels of: Follicle-stimulating hormone (FSH)
Which statement by the student nurse regarding spermicides indicates effective learning?
Which statement by the student nurse regarding spermicides indicates effective learning? "They would reapplied for each additional act of intercourse."
Does levonorgestrel prevent ovulation?
It helps prevent pregnancy by using a bigger dose of levonorgestrel, the synthetic hormone found in birth control pills. This mimics the natural hormone, progesterone, delaying the release of an egg from the ovary, thereby preventing ovulation.
How effective is levonorgestrel?
Levonorgestrel-only emergency contraceptive has an efficiency rate of 89% if it is used correctly within 72 h after unprotected intercourse. LNG also diminishes the risk of pregnancy, following a single act of mid-cycle unprotected sexual intercourse, from 8% on average, to 1.1% [13].
What hormones are used to treat luteal phase defects?
Progesterone is the most common hormone offered to women experiencing luteal phase defects, but other fertility drugs may also be prescribed for treatment. Fertility drugs that may be effective in addressing luteal phase defects include clomiphene citrate and human chorionic gonadotropin, or hCG.
Can IVF be used for luteal phase defects?
In most cases, fertility drugs effectively treat luteal phase defects and allow a woman to become pregnant. However, if medication proves ineffective , or if there are additional issues contributing to luteal phase defects, then IVF may be a more effective treatment option .
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!".
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 do uterine factors affect the implantation of an embryo?
Uterine factors may affect the process of implantation and nourishment of the embryo in the uterus. The fertilized egg is unable to reach the uterus. Any change in the anatomy of the cervix that affects the movement of the sperm into the uterus indicates a cervical factor. In this client, the embryo was fertilized.
