A Case Report on Primary Infertility
Aishwaraya Vaidya *
Department of Mental Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
Pooja Kasturkar
Department of Mental Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
Trupti Uke
Department of Mental Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
Kavita Gomase
Department of Mental Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
Jaya Gawai
Department of Mental Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
Seema Singh
Department of Mental Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
Savita Pohekar
Department of Mental Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Science (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Introduction: All womens want to become mothers. Infertility is defined as unable to or failure to conceive within one or more years of regular unprotected coitus. Primary infertility denotes patients who have never conceived.
Clinical Findings: The main symptom of primary infertility is the inability to get pregnant. A menstrual cycle is not continued. That's too long (35 days or more), too short (less than 21 days), irregular or absent results of patients not ovulating. Late menstrual cycle, pain in menstrual cycle, infertility, there might be no other signs or symptoms.
Diagnostic Evaluation: serological test, semen test in her husband, sonography, hysteroscopy, laparoscopy.
Investigation of BHCG value: BHCG value greater than 25 indicates positive results.
Therapeutic Intervention: Inj. Chorion(Human chorionic gonadotropin) 500 IU, Inj. Filgastrium(Neupogen) 300IU every third day, Inj. Lomoh 20mg Alternate day, Tab. Esrobet 2mg×TDS, Tab. Ecosprin 150mg×OD.
Outcomes: After In-vitro fertilization treatment patients show improvement. Patients can be pregnant,with the help of In-vitro fertilization treatment.
Conclusion: My patient was admitted in gynaecology ward no. 08, AVBRH (Acharya Vinoba Bhave Rural Hospital) with case of primary infertility and complaints of infertility, late menstrual cycle and repeated abortion after IVF (In-vitro fertilization) treatment patient condition improved and got pregnant. ET(Embryo transfer) was done on 15/11/2021.
Keywords: Infertility, late menstrual cycle, hysteroscopy, laparoscopy