Case report on primary infertility

Abstract

Introduction: All and sundry has aspiration to become a mother and who wants to become a mom, substance impotent draw up little one is an elegant hurting fact. Several of us disburse fragment of existence to avert haphazard gestations also trust that if she is prepared to bear a child it will occur with miniature trouble. One be prone to ponder that convey cogwheel from gestation safeguard to fertilization and planning of parturition will make one’s way in comparably flush and neat way. Therefore, inability to conceive is a big life stressor, which can be caused by otherwise well-adjusted pairs. Patient History: 26 Years old Mrs. Rajeshree Chaudhari is nulligravida since 2½ year with primary infertility and anxious to conceive. C/O pain in abdomen during menses since 1 year. No irregular menses. Past History: Client has no history of diabetes, TB, hypertension, Asthma, epilepsy, thyroid disease. She has no other history of hospitalization other than obstetrics. No history of blood transfusion. Clinical Finding: Pain in abdomen. Ovarian dysfunction causing the egg development to be absent or diminished. Investigations: Serological Investigations, Sonography, Semen analysis in her Husband and Laparotomy in my client. Surgical Management: The laparotomy was done and the cyst was removed by surgical intervention. Medical Management: Patient was treated with antibiotics, antacids, anti-cholinergic, anti inflammatory, IV fluids and analgesics. Nursing Management: Nurse need to obtain history as prenatal, family and other relevant history. Nurse has to perform primary physical examination and collect other relevant information regarding reports of patients. Give psychological support throughout the counselling. Collect other information about tests, reports and documents. Establish plan of care with family and co-ordinate care with other health care professionals. Maintain privacy and confidentiality of all cases. Ensure follow up and supportive services to individual and family during counselling. Conclusion: Infertility is an important social and medical problem that affects couples all over the world. Factors both female and male are equally responsible. Evaluation is essential for both partners. Treatment depends on the cause of infertility and can vary from ovulation to surgery to ART. My patient come to the hospital as nulligravida with primary infertility and anxious to conceive. As a treatment, cause of infertility detected and exploratory laparotomy is done as a treatment regimen.