History of Infertility


Hawa is a 26-year-old female patient with a history of infertility. She and her partner have been trying to conceive naturally for 2 years. Hawa started taking fertility medication 6 months ago to stimulate follicle development. At 21 years of age, she was diagnosed with pelvic inflammatory disease, which was treated with antibiotics. Her menstrual cycle has been unpredictable over the last 3 months, with sporadic light bleeding. During the last month, she has felt nauseous and experienced diarrhea. Yesterday, she had a sudden onset of abdominal and pelvic pain and heavy vaginal bleeding. She is concerned about the sudden change and sees her gynecologist the following day.

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1.) Hawa’s gynecologist is concerned she may be experiencing an ectopic pregnancy. Briefly describe what this means, in your own words.

2.) There are many risk factors for ectopic pregnancies. Which risk factors does Hawa display?

3.) Why is it concerning for a fertilized egg to implant outside of the uterus? visit https://en.wikipedia.org/wiki/Infertility for more details.

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4.) Vanessa is a 32-year-old female who has been trying to conceive for 3 months. She tested positive with an at-home pregnancy test after missing her menstrual cycle last month. She has come into the clinic where you work to confirm her pregnancy and begin her prenatal care. She has many questions about the upcoming months. Imagine you are her nurse and help answer her questions.

“I’ve heard that women often throw up in the first few weeks of pregnancy, but I haven’t felt nauseous at all. Does that mean something is wrong?”

5.) Do I need to refrain from sex during my pregnancy?”

6.) My mother and sisters have all had preeclampsia with their pregnancies. What is preeclampsia and does my family history mean I will have it, too?”


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