A SEMINAR PRESENTATION ON: INFERTILITY

PRESENTED BY

UGBALA CHINENYE LOVETH

EU/HS/NSC/19/132

SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE

COURSE: COMMUNITY HEALTH NURSING CLINICAL POSTING

(NSC 461)

DEPARTMENT OF NURSING SCIENCES

COLLEGE OF HEALTH SCIENCES

EVANGEL UNIVERSITY AKAEZE

NOVEMBER, 2022
TITLE PAGE

INFERTILITY
 DEDICATION

This work is dedicated to God and my caring family.

 
 ACKNOWLEDGEMENT

My profound gratitude goes first to the Almighty God. I want to thank my parents for being there

for me in good and stressful times in school. Also I would like to acknowledge the loving

support of my friends.

I wish to thank the HOD of our great department, and my humble lecturer for organizing this

posting and giving us the background knowledge on community health care

Finally, I wish to acknowledge the staff nurses and other health care officers of Ngbo and

aziuyokwu communities’ health faculties for impacting knowledge and skills in me. I also thank

them for all the challenges and encouragement.

I pray and ask the good Lord to bless everyone who have in one way or the other assisted me in

writing this seminar presentation. Thanks and remain blessed.

 TABLE OF CONTENT

CHAPTER I

1.1 Definition of Infertility

1.2 Objective of study

1.3 Types of Infertility

1.4 Rick Factor of Infertility

CHAPTER II

2.0 Incidence of Infertility

2.1 Causes of Infertility

2.2 Pathophysiology

CHAPTER III

3.0 Nursing Care Plan

3.1 Medical Management

3.2 Treatment of Infertility

CHAPTER IV

4.0 Conclusion

4.1 Summary of Key Points

 4.2 Recommendation of the study

4.3 Reference

CHAPTER I

INTRODUCTION

1.0 DEFINITION OF INFERTILITY

Infertility is a major public health issue that affects a significant portion of the population.

Community health nursing plays a crucial role in addressing infertility, as it helps to identify,

prevent, and treat infertility-related problems. This field of nursing encompasses the promotion

of reproductive health, providing education and support to couples and individuals who are

struggling with infertility, and working with healthcare providers to provide access to the latest

treatments and technologies.

Infertility is defined as the inability to conceive a child after a year or more of unprotected

intercourse. This condition can be due to several factors, including age, medical conditions,

lifestyle factors, and genetic factors. In some cases, infertility can be treated with medications or

other medical interventions, while in others, it may require assisted reproductive technologies

such as in vitro fertilization (IVF) or artificial insemination.

Community health nursing plays an important role in the assessment and management of

infertility by providing education and support to individuals and couples who are struggling with

this condition. Nurses can provide information on the causes and risk factors of infertility, as
well as the latest treatments and technologies available. They can also help couples to understand

the psychological and emotional effects of infertility, and provide support and referrals to other

healthcare professionals as needed.

In working with couples and individuals, community health nurses can also work with healthcare

providers and organizations to improve access to infertility services. This may include

advocating for insurance coverage for infertility treatments, promoting public awareness about

infertility and its impact on health and well-being, and working with healthcare providers to

develop and implement clinical practice guidelines for infertility management.

Infertility is a complex health issue that affects a significant portion of the population. It is

defined as the inability to conceive a child after a year or more of unprotected intercourse.

Infertility can be caused by some factors, including age, medical conditions, lifestyle factors, and

genetic factors. This condition can have a significant impact on individuals and couples, as it can

lead to emotional and psychological distress, as well as physical symptoms.

Community health nursing plays a crucial role in addressing infertility. Community health nurses

are often the first point of contact for individuals and couples seeking information and support

for infertility. They provide education on the causes and risk factors of infertility, as well as the

latest treatments and technologies available. They also help to dispel any myths or

misconceptions about infertility and provide emotional support to those struggling with this

condition.

1.1 OBJECTIVES OF THE STUDY

The objectives of a study on infertility can be varied and may depend on the specific research

question being investigated. However, some common objectives for a study on infertility may

include:

1. To determine the causes of infertility: The study can aim to identify the factors that

contribute to infertility, including genetic, lifestyle, environmental, and medical

conditions.

2. To evaluate the effectiveness of infertility treatments: The study can examine the

effectiveness of various infertility treatments such as medications, surgery, and assisted

reproductive technologies (ARTs) such as in vitro fertilization (IVF) and intrauterine

insemination (IUI).

3. To assess the impact of infertility on the couple: The study can explore the emotional,

social, and psychological impact of infertility on couples, including the effects on their

relationships and quality of life.

4. To evaluate the economic burden of infertility: The study can examine the financial cost

of infertility treatments, including the direct costs of medical procedures and indirect

costs such as lost wages and time off from work.

5. To identify risk factors for infertility: The study can look at various factors such as age,

lifestyle habits, and medical history to determine if they increase the risk of infertility.

6. To identify disparities in infertility treatment: The study can examine if certain

populations, such as those with lower income or minority groups, have greater difficulties

in accessing infertility treatments and the reasons for these disparities.

 7. To improve the delivery of infertility care: The study can aim to identify the most

effective methods for delivering infertility care and suggest ways to improve the quality

and accessibility of these services.

Overall, the objective of a study on infertility is to gain a better understanding of the causes and

impact of infertility, and to improve the diagnosis, treatment, and care for individuals and

couples affected by infertility.

 CHAPTER II

PREVALENCE OF INFERTILITY

Infertility is a common issue that affects millions of individuals around the world. The

prevalence of infertility is influenced by a number of demographic, geographic, and economic

factors.

2.0 DEMOGRAPHIC FACTORS:

1. Age: Age is one of the most important demographic factors affecting infertility. As women

age, their fertility declines, and the risk of infertility increases. For men, age can also play a role

in infertility by affecting the quality and quantity of their sperm. Infertility is a common issue in

Nigeria, and age is a significant demographic factor affecting the prevalence of infertility in the

country.

As women age, their fertility declines, and the risk of infertility increases. This trend is evident in

Nigeria, where infertility rates tend to be higher among older women. According to a study

published in the Journal of Obstetrics and Gynecology, the prevalence of infertility in Nigeria

ranges from 15% to 20%, with the highest rates seen among women aged 35 years and older.

There are a number of reasons for the increased risk of infertility among older women in Nigeria.

One factor is the decline in egg quality and quantity that occurs with age, which can make it

more difficult for women to conceive. Another factor is the increased likelihood of medical

conditions that can cause infertility, such as polycystic ovary syndrome (PCOS) and

endometriosis, which tend to occur more frequently in older women.

For men, age can also play a role in infertility by affecting the quality and quantity of their

sperm. In Nigeria, as in many other countries, infertility rates among men tend to be lower

compared to women. However, older men are still at increased risk for infertility due to declining

sperm quality and quantity with age.

2.Gender: Infertility affects both men and women, but there are differences in the prevalence of

infertility based on gender. For example, women are more likely to experience infertility

compared to men. Infertility is a common problem in Nigeria and affects both men and women.

In recent years, there has been a rise in infertility cases, leading to increased concern about the

issue. Infertility is defined as the inability to conceive after one year of unprotected intercourse.

As a demographic factor, gender plays a significant role in infertility in Nigeria. According to

recent studies, infertility affects about 10-15% of couples in Nigeria, and both men and women

contribute equally to infertility cases.

Male infertility is a major concern in Nigeria, with an estimated 40% of infertility cases being

attributed to male-related factors. Low sperm count, poor sperm motility, and sperm

abnormalities are some of the factors that contribute to male infertility in Nigeria. In addition,

factors such as the use of drugs and exposure to environmental toxins can also impact sperm

quality and lead to infertility.

3.Race: Infertility rates can vary by race, with some racial and ethnic groups experiencing higher

rates of infertility compared to others.

Infertility is a growing concern in Nigeria and has become a significant public health issue in the

country. According to recent studies, the prevalence of infertility in Nigeria varies based on

several factors, including race as a demographic factor.

In Nigeria, infertility affects a significant portion of the population, with estimates suggesting

that about 10-15% of couples experience infertility. Infertility can be caused by a range of

factors, including lifestyle choices, age, genetics, and medical conditions.

Race is one of the demographic factors that can affect the prevalence of infertility in Nigeria. In

the country, infertility rates are higher among certain ethnic groups, such as the Yoruba, Ibo, and

Hausa communities, compared to others. For example, studies have shown that the Yoruba

ethnic group has a higher prevalence of infertility compared to other ethnic groups in Nigeria.

This can be attributed to a range of factors, including cultural beliefs, practices, and lifestyles

that are prevalent in these communities.

One of the major factors that contribute to infertility among the Yoruba community is their

traditional practice of the “male factor infertility syndrome,” which involves the use of herbal

medicines that are known to cause infertility. This practice, which is commonly used in the

Yoruba community, can result in a range of infertility-related problems, including sperm

abnormalities and reduced sperm motility.

4.Sexual orientation: Lesbians and bisexual women may experience infertility as a result of

their sexual orientation, particularly if they have not had children in previous relationships.

Infertility is a growing concern in Nigeria and has become a significant public health issue in the

country. According to recent studies, the prevalence of infertility in Nigeria varies based on

several factors, including sexual orientation as a demographic factor.

In Nigeria, infertility affects a significant portion of the population, with estimates suggesting

that about 10-15% of couples experience infertility. Infertility can be caused by a range of

factors, including lifestyle choices, age, genetics, and medical conditions.

2.0.1 GEOGRAPHIC FACTORS:

1.Rural vs. urban areas: Access to infertility services can vary based on geographic location, with

individuals living in rural areas often having limited access to these services.

Infertility is a common reproductive health issue affecting couples across the world, including

Nigeria. In Nigeria, infertility affects both rural and urban populations, but the prevalence of

infertility varies greatly between these two areas due to a number of geographical factors.

In rural areas, infertility is often more prevalent due to limited access to healthcare services, lack

of education, and poverty. Rural residents may not have access to modern medical facilities,

including fertility clinics, and may not have the financial means to pay for infertility treatments.

Additionally, cultural beliefs and practices in rural areas can contribute to infertility, such as the

use of traditional herbs and medicines, which may cause damage to the reproductive system.

2.Geography and climate: Geographic location and climate can also influence infertility rates,

with individuals living in areas with high levels of pollution or exposure to environmental toxins

being at increased risk for infertility.

Infertility is a growing concern in Nigeria, a country located in West Africa. There are a number

of geographic and climatic factors that contribute to the high rate of infertility in the country.

One of the most significant geographic factors is the distribution of population. Nigeria is the

most populous country in Africa, with over 200 million people. This large population has placed

significant strain on the country's resources, including healthcare facilities. The lack of access to

quality healthcare, particularly in rural areas, has contributed to high rates of infertility.
Another geographic factor is the distribution of industry and employment. Many people in

Nigeria live and work in heavily industrialized areas, where they are exposed to toxic chemicals

and pollutants that can affect fertility. The exposure to these toxic substances is a major

contributor to infertility in the country.

Climate is also a factor that contributes to infertility in Nigeria. The country experiences a

tropical climate, with high temperatures and high humidity. These conditions can lead to the

growth of harmful microorganisms that can cause infertility, especially in women. For example,

the high humidity levels in Nigeria can increase the risk of infections like bacterial vaginosis,

which can affect a woman's fertility.

2.0.2 ECONOMIC FACTORS:

1.Income: Income can play a significant role in the prevalence of infertility, with low-income

individuals often having limited access to infertility services due to the high cost of treatment.

Infertility refers to the inability of a couple to conceive a child after one year of unprotected

sexual intercourse. In Nigeria, infertility is a growing concern and affects a significant portion of

the population. The prevalence of infertility in Nigeria is influenced by various factors, one of

which is income as an economic factor.

Income is a crucial economic factor that affects the prevalence of infertility in Nigeria because it

determines access to quality healthcare services, including fertility treatments. In Nigeria, the

healthcare system is largely private, and the cost of infertility treatments can be prohibitively

high for many individuals and couples. As a result, many couples with low income levels cannot

afford to access quality infertility services, leading to a higher prevalence of infertility in these

communities.
2.Insurance coverage: Insurance coverage for infertility services can also impact the prevalence

of infertility, with individuals without insurance being less likely to seek treatment.

Infertility is a condition where a person is unable to conceive after a year of trying or is unable to

carry a pregnancy to full term. In Nigeria, infertility is a growing concern and has been estimated

to affect about 15% of the population. The prevalence of infertility in Nigeria is influenced by

several factors, including economic factors such as insurance coverage.

Insurance coverage is an essential factor in the prevention and management of infertility.

Insurance coverage provides financial protection for individuals who are unable to conceive and

requires medical intervention to conceive. In Nigeria, insurance coverage for infertility treatment

is limited, and this has contributed to the high cost of infertility treatments, making it

inaccessible to many couples who are affected by infertility.

The high cost of infertility treatments is a significant economic burden for couples who are

affected by infertility. Infertility treatments such as in vitro fertilization (IVF), Intracytoplasmic

sperm injection (ICSI), and gamete intrafallopian transfer (GIFT) are costly, and most health

insurance plans do not cover these treatments. This lack of insurance coverage means that

couples have to pay for the treatments out of pocket, which can be financially challenging for

many.

3.Occupation: Certain occupations, such as those with exposure to toxins and pollutants, can

increase the risk of infertility.

Infertility is a medical condition characterized by the inability to conceive a child after a certain

period of time, usually a year or more, of regular and unprotected sexual intercourse. The

prevalence of infertility in Nigeria, like many other countries, is influenced by various factors,
including economic factors. In Nigeria, poverty and low socio-economic status are major

contributors to infertility. Many couples in Nigeria live in poverty and struggle to make ends

meet, leaving them with limited resources to access proper healthcare. This often results in a lack

of access to adequate reproductive health services, including infertility treatments. The cost of

infertility treatments is often prohibitively high for many couples, especially those living in

poverty.
2.1 TYPES OF INFERTILITY.

 Primary infertility

When a woman is unable to ever bear a child, either due to the inability to become pregnant or

the inability to carry a pregnancy to a live birth she would be classified as having primary

infertility. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results

in a still born child, without ever having had a live birth would present with primarily infertility.

 Secondary infertility

When a woman is unable to bear a child, either due to the inability to become pregnant or the

inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous

ability to carry a pregnancy to a live birth, she would be classified as having secondary

infertility. Thus those who repeatedly spontaneously miscarry or whose pregnancy results in a

stillbirth, or following a previous pregnancy or a previous ability to do so, are then not unable to

carry a pregnancy to a live birth would present with secondarily infertile.

2.2 RISK FACTORS FOR INFERTILITY IN ALL GENDERS

These factors increase the risk of infertility in all genders:

1. Age (over age 35 for women or over 40 for men).

2. Diabetes.

3. Eating disorders, including anorexia nervosa and bulimia.

4. Excessive alcohol use.

5. Exposure to environmental toxins, such as lead and pesticides.

6. Over exercising.
 7. Radiation therapy or other cancer treatments.

8. Sexually transmitted diseases (STDs).

9. Smoking.

10. Stress.

11. Substance abuse.

12. Weight problems (obesity or underweight).

Risk factors for female infertility

These factors can contribute to female infertility:

1. Abnormal menstruation.

2. Blocked fallopian tubes.

3. Celiac disease.

4. Kidney disease.

5. Past ectopic (tubal) pregnancy.

6. Pelvic inflammatory disease.

7. Pituitary gland disorders, such as Cushing’s syndrome.

8. Polycystic ovary syndrome (PCOS), ovarian cysts and primary ovarian insufficiency.

9. Sickle cell anemia.

10. Uterine problems, including endometriosis, uterine fibroids and uterine polyps.

11. Thyroid disease.

Risk factors for male infertility

These factors can cause male infertility:

1. Enlarged veins (varicocele) in the scrotum, the sac that holds the testicles.
 2. Genetic disorders, such as cystic fibrosis.

3. High heat exposure to testicles from tight clothing or frequent use of hot tubs and saunas.

4. Injury to the scrotum or testicles.

5. Low sperm count or low testosterone (hypogonadism).

6. Misuse of anabolic steroids.

7. Premature ejaculation or retrograde ejaculation (semen flows back into the bladder).

8. Testicular cancer and treatments.

9. Undescended testicles.

2.3 EFFECT OF INFERTILITY IN COMMUNITY HEALTH NURSING

Infertility is a medical condition that affects a significant number of couples worldwide, and it

can have a profound impact on their mental, emotional, and physical well-being. Community

health nursing is a crucial aspect of healthcare that addresses the healthcare needs of

communities and populations, including those experiencing infertility.

The effects of infertility on community health nursing are varied and can include:

1. Psychological Impact: Infertility can cause psychological distress, such as depression,

anxiety, and social isolation. Community health nurses can play a critical role in

addressing these emotional effects by providing emotional support, counseling, and

referrals to support groups or mental health professionals.

2. Stigma and Discrimination: Infertility can be stigmatized in some cultures, leading to

discrimination and social isolation. Community health nurses can help raise awareness

about infertility and promote empathy and understanding among community members.

3. Financial Burden: Infertility treatments can be expensive, and some individuals may not

be able to afford them. Community health nurses can provide information about available
 resources, such as insurance coverage and financial assistance programs, to help alleviate

the financial burden of infertility.

4. Reproductive Health Education: Community health nurses can educate individuals and

couples on reproductive health and fertility awareness, which can help prevent infertility

and increase the chances of successful conception.

5. Relationship and Family Dynamics: Infertility can place significant stress on

relationships and family dynamics. Community health nurses can help couples navigate

these challenges by providing counseling and support.

 CHAPTER III. ASSESSMENT OF INFERTILITY

3.0 PHYSICAL ASSESSMENT

The physical assessment of infertility involves a thorough evaluation of the reproductive

anatomy and function of both partners. This includes a complete medical history, physical

examination, and pelvic exam. The medical history is critical in determining the potential causes

of infertility, such as underlying medical conditions, previous surgeries, or exposure to

environmental toxins.

The physical examination typically includes measurement of height, weight, and body mass

index (BMI), as well as assessment of general health and well-being. This includes checking for

signs of hormonal imbalances, such as excessive hair growth or acne, and examination of the

thyroid gland. The pelvic exam is an important part of the physical assessment and involves

examination of the external genitalia, vagina, cervix, uterus, fallopian tubes, and ovaries.

3.1 LABORATORY TESTS

In addition to the physical examination, laboratory tests are also an important part of the

assessment of infertility. These tests can help identify hormonal imbalances, infectious diseases,

or other medical conditions that can impact fertility.

Hormonal tests may include measurement of follicle-stimulating hormone (FSH), luteinizing

hormone (LH), prolactin, testosterone, and estradiol. These tests can provide information about

the function of the hypothalamus, pituitary gland, and ovaries, and can help determine if

ovulation is occurring regularly.

Infectious disease testing may include tests for chlamydia, gonorrhea, syphilis, and HIV. These

tests can help identify infections that can impact fertility and may require treatment.

Other laboratory tests may include semen analysis, which assesses the quantity and quality of a

man's sperm, and hysterosalpingography (HSG), which is an X-ray test that assesses the shape of

the uterus and fallopian tubes.

3.2 FERTILITY EVALUATIONS

Fertility evaluations are specialized tests that are performed to determine the cause of infertility

and to help guide treatment. These evaluations may include:

 Ovarian Reserve Testing: This involves measuring the levels of follicle-stimulating

hormone (FSH) and antral follicle count (AFC) to assess the number of follicles available

for ovulation.

 Hysteroscopy: This is a procedure in which a thin, lighted instrument is inserted through

the cervix to examine the inside of the uterus. This test can help identify any structural

abnormalities, such as polyps or fibroids, that may impact fertility.

 Laparoscopy: This is a minimally invasive surgical procedure in which a small camera is

inserted through a small incision to view the pelvic organs. This test can help identify

conditions such as endometriosis or pelvic adhesions that may impact fertility.

 Saline Infusion Sonography (SIS): This test involves injecting a saltwater solution into

the uterus and using ultrasound to examine the fallopian tubes. This test can help

determine if the tubes are blocked or damaged, which can impact fertility.
 CHAPTER IV. NURSING INTERVENTIONS FOR INFERTILITY

4.0 HEALTH PROMOTION AND EDUCATION

Health promotion and education are important nursing interventions for infertility. Nurses can

provide patients with information about the causes of infertility, as well as strategies for

improving their overall health and fertility. This may include information on healthy lifestyle

practices, such as maintaining a healthy diet, engaging in regular physical activity, and avoiding

exposure to environmental toxins. Nurses can also educate patients about the reproductive

process and the role of hormones in fertility.

Health promotion and education is a crucial aspect of nursing care for infertility. Nurses play a

critical role in providing patients with information and support to help improve their overall

health and increase their chances of conceiving.

 Education on Healthy Lifestyle Practices: Nurses can educate patients on the

importance of maintaining a healthy lifestyle to improve their overall health and fertility.

This may include information on diet, physical activity, stress management, and avoiding

exposure to environmental toxins. For example, patients can be advised to follow a

healthy diet rich in fruits, vegetables, and whole grains, and to limit their intake of

processed foods and refined sugars. They can also be advised to engage in regular

physical activity, such as exercise or yoga, to reduce stress and improve overall health.

 Information on the Reproductive Process: Nurses can provide patients with an

understanding of the reproductive process, including the role of hormones in fertility.

This can help patients better understand their own fertility and the potential causes of

infertility. For example, patients can be informed about the menstrual cycle, ovulation,
 and the role of hormones such as follicle-stimulating hormone (FSH) and luteinizing

hormone (LH) in regulating the reproductive process.

 Education on Fertility-Boosting Strategies: Nurses can educate patients on strategies to

improve their fertility, such as timed intercourse, use of ovulation predictor kits, and

lifestyle modifications. For example, patients can be advised to have intercourse during

their fertile window, which is the time period when they are most likely to conceive.

Nurses can also provide patients with information on the use of ovulation predictor kits,

which can help predict the timing of ovulation.

 Education on Infertility Treatments: Nurses can provide patients with information on

the various infertility treatments available, including medications, assisted reproductive

technologies, and surgery. They can explain the benefits and risks of each treatment

option, and help patients make informed decisions about their care.

In health promotion and education is a critical aspect of nursing care for infertility. By providing

patients with accurate information and support, nurses can help improve their overall health and

increase their chances of conceiving. Through patient-centered care and education, nurses can

play a critical role in helping patients achieve their goals of starting a family.

4.1 PSYCHOLOGICAL SUPPORT

Psychological support is an important aspect of nursing care for infertility. Infertility can be a

stressful and emotional experience for many patients, and nurses play a critical role in helping

patients cope with these feelings.

 Emotional Support: Nurses can provide emotional support to patients struggling with

infertility. This may involve listening to their concerns and feelings, offering
 encouragement, and helping them to understand their options. By offering a supportive

and non-judgmental ear, nurses can help patients feel heard and validated, which can

improve their overall well-being.

 Counseling and Support Groups: Nurses can refer patients to counseling services or

support groups to help them cope with the stress and anxiety associated with infertility.

Talking with others who are going through similar experiences can be a valuable source

of support and can help patients feel less isolated.

 Stress Management: Nurses can also help patients develop stress management strategies

to help them cope with the emotional demands of infertility. This may involve educating

patients on relaxation techniques, such as deep breathing, meditation, and yoga, as well

as providing information on support resources, such as online support groups or

counseling services.

In psychological support is a critical aspect of nursing care for infertility. By providing patients

with emotional support, counseling, and stress management strategies, nurses can help patients

cope with the stress and anxiety associated with infertility. Through patient-centered care and

support, nurses can play a critical role in helping patients achieve their goals of starting a family

4.2 MEDICATION MANAGEMENT

Medication management is an important aspect of nursing care for infertility. Nurses play a

critical role in ensuring that patients receive the appropriate medications, monitoring their

effects, and providing patient education on their use.

Prescription and Administration of Medications: Nurses can work with healthcare providers

to ensure that patients receive the appropriate medications to improve their fertility. This may
include medications to regulate ovulation, such as clomiphene citrate or gonadotropins, as well

as medications to support the growth of follicles, such as human chorionic gonadotropin (hCG).

Nurses can also assist with the administration of medications, including oral medications and

injections.

Monitoring of Medication Effects: Nurses can monitor the effects of medications on patients,

including side effects and potential drug interactions. They can also monitor patients for potential

complications, such as multiple gestation or ovarian hyperstimulation syndrome, and take

appropriate actions to manage these conditions.

Patient Education on Medications: Nurses can provide patients with education on the use of

medications, including proper administration techniques, side effects, and potential interactions

with other medications. They can also provide patients with information on the potential benefits

and risks of medications, and help them make informed decisions about their care.

In medication management is a critical aspect of nursing care for infertility. By working with

healthcare providers, monitoring medication effects, and providing patient education, nurses can

help ensure that patients receive the appropriate medications to improve their fertility and

achieve their goals of starting a family. Through patient-centered care and management, nurses

can play a critical role in helping patients achieve their goals of starting a family.

4.3 ASSISTING WITH REPRODUCTIVE TECHNOLOGIES

Assisting with reproductive technologies is an important aspect of nursing care for infertility.

Nurses play a critical role in helping patients understand and navigate the various reproductive

technologies available to them, as well as providing support and care during these procedures.
 Education on Reproductive Technologies: Nurses can provide patients with education

on the various reproductive technologies available to them, including in vitro fertilization

(IVF), intracytoplasmic sperm injection (ICSI), and gamete intrafallopian transfer

(GIFT). They can explain the process, success rates, and potential risks associated with

each technology, and help patients make informed decisions about their care.

 Preparation for Reproductive Technologies: Nurses can assist patients in preparing for

reproductive technologies, including preparing for the procedure and managing any pre-

procedure medications. They can also provide patients with instructions on post-

procedure care and follow-up, and help them manage any potential complications.

 Support During Reproductive Technologies: Nurses can provide support to patients

during reproductive technologies, including monitoring their comfort and well-being, and

addressing any concerns or questions they may have. They can also provide support and

education to partners or support persons, helping to ensure that everyone is fully

informed and involved in the process.

 CHAPTER V

ETHICAL CONSIDERATIONS IN INFERTILITY TREATMENT

5.0 ACCESS TO INFERTILITY SERVICES

 Access to Infertility Services Access to infertility services is a major ethical consideration

in infertility treatment. Infertility is a medical condition that affects millions of people

worldwide, and many of these individuals may want to have children but are unable to

due to infertility. Unfortunately, infertility treatment can be expensive and may not be

covered by insurance, meaning that not everyone who wants to have children may be able

to access the treatments they need.

 This raises important questions about fairness and equality. It is unjust for some

individuals to be able to have children while others are unable to due to financial

constraints. This can lead to feelings of frustration, anger, and hopelessness for those who

are unable to access the treatments they need. Additionally, the inability to have children

can have a significant impact on an individual's mental and emotional well-being, and

may lead to a sense of loss or grief.

 The cost of infertility treatment also raises questions about the value placed on having

children in society. Infertility treatment can be seen as a luxury for those who can afford

it, rather than a basic medical need for those who require it. This highlights the need for

affordable and accessible infertility treatment for all individuals who need it.

 Access to infertility services is an important ethical consideration in infertility treatment.

Ensuring that everyone has equal access to the treatments they need is crucial for
 promoting fairness and equality, and for protecting the mental and emotional well-being

of those affected by infertility.

5.1 DECISION MAKING IN INFERTILITY TREATMENT

Decision Making in Infertility Treatment Decision making in infertility treatment is another

important ethical consideration. Infertility treatment can be a complex and emotional process,

and patients may face a range of conflicting pressures and decisions. On the one hand, they may

feel pressure to pursue treatments, either from their partners, family members, or society as a

whole, they may also feel conflicted about the use of medical interventions to have children, or

may have concerns about the physical, emotional, and financial tolls of infertility treatment.

These conflicting pressures and decisions raise important questions about patient autonomy and

the role of informed consent in medical decision making. Patients should have the right to make

decisions about their own bodies and health, and to weigh the potential benefits and risks of

treatment. They should also have access to accurate and comprehensive information about their

options, and be able to make informed decisions based on that information.

In decision making in infertility treatment is a crucial ethical consideration. Ensuring that

patients have access to accurate and comprehensive information, and the ability to make

informed decisions about their own bodies and health, is essential for protecting patient

autonomy and promoting informed consent in medical decision making.

5.2 CONFIDENTIALITY AND PRIVACY

Confidentiality and Privacy Confidentiality and privacy are also important ethical considerations

in infertility treatment. Infertility can be a sensitive and personal issue, and patients may not

want others to know about their infertility or treatments. They may be concerned about the
potential consequences of others finding out, such as discrimination, stigma, or damage to

personal relationships.

The protection of sensitive health information is an important aspect of patient privacy, and

health care providers have a responsibility to maintain the confidentiality of their patients'

information. This includes protecting sensitive information about infertility treatment, such as

medical histories, test results, and treatments received.

In confidentiality and privacy are important ethical considerations in infertility treatment.

Protecting sensitive health information and personal information is essential for maintaining

patient privacy and trust, and for ensuring that patients are able to access the treatments they

need without fear of discrimination or stigma.

 CHAPTER VI

CONCLUSION

6.0 IMPORTANCE OF INFERTILITY IN COMMUNITY HEALTH NURSING

Importance of Infertility in Community Health Nursing Infertility is an important issue in

community health nursing as it affects a large portion of the population.

• Community health nurses play a crucial role in educating individuals and couples about

infertility, its causes, and available treatments. They can also provide emotional support and help

connect patients with support groups and resources.

• Infertility can have a significant impact on an individual's or couple's physical and mental

health. It can cause stress, anxiety, and depression, and can strain relationships. Community

health nurses can provide support and help individuals and couples cope with the emotional

effects of infertility. By offering education and resources, they can help individuals and couples

understand their options and make informed decisions about their infertility treatment.

• In community health nurses can play a key role in improving access to infertility care.

Many individuals and couples affected by infertility face barriers to care, such as cost, lack of

insurance coverage, and limited availability of services in their communities. Community health

nurses can advocate for increased access to care and help connect individuals and couples with

resources and support to help them manage the cost of infertility treatment.

In conclusion, the role of community health nurses in addressing infertility is critical. By

providing education, support, and resources, community health nurses can help improve the
overall health and well-being of individuals and couples affected by infertility. They can also

play a key role in improving access to care and ensuring that individuals and couples have the

resources and support they need to manage infertility and achieve their reproductive goals.

6.1 SUMMARY OF KEY POINTS

Summary of Key Points Infertility is a common problem affecting many individuals and couples

around the world. According to the World Health Organization (WHO), an estimated 48.5

million couples worldwide are affected by infertility. Infertility can have a significant impact on

physical and mental health, causing stress, anxiety, and depression. Infertility can also strain

relationships and affect an individual's sense of self-worth and identity.

The causes of infertility can be both male and female factors, or a combination of both. Male

infertility can be caused by problems with sperm production, such as low sperm count or poor

sperm motility. Female infertility can be caused by a range of factors, including hormonal

imbalances, ovarian dysfunction, and problems with the uterus or fallopian tubes. In some cases,

the cause of infertility cannot be determined.

Diagnostic and treatment options for infertility are varied and may include medications, surgery,

and assisted reproductive technologies (ARTs). Medications such as clomiphene citrate and

gonadotropins can be used to stimulate ovulation and improve fertility. Surgery may be

necessary to repair damaged or blocked reproductive organs, and ARTs, such as in vitro

fertilization (IVF), can be used to help couples conceive.

6.2 RECOMANDATION OF THE STUDY

Infertility is an important issue that affects many individuals and couples, and community health

nursing can play a crucial role in addressing this issue. In order to effectively address infertility,

it is recommended that the following actions be taken:

1. Improving education and training for community health nurses: Community health nurses

should receive regular training and education on infertility, its causes, and available

treatments. This will help ensure that they are equipped to provide accurate and up-to-

date information to individuals and couples affected by infertility.

2. Providing emotional support: Community health nurses should be trained to provide

emotional support and help individuals and couples cope with the physical and mental

effects of infertility. This may include connecting patients with support groups, resources,

and counseling services.

3. Improving access to care: Community health nurses should advocate for increased access

to infertility care and help connect individuals and couples with resources to manage the

cost of treatment. This may include working with policy makers to increase insurance

coverage for infertility treatments and working with healthcare providers to make these

treatments more widely available in communities.

4. Promoting research: The role of community health nurses in addressing infertility should

be studied in order to better understand their contributions to the field and to identify

areas for improvement. This research should inform future efforts to improve education,

support, and access to care for individuals and couples affected by infertility.
6.4 REFERENCES

ART fact sheet (July 2014)". European Society of Human Reproduction and Embryology.

Archived from the original on 4 March 2016.

Causes of infertility". National Health Service. 23 October 2017. Archived from the original on

29 February 2016. Retrieved 21 February 2016. Page last reviewed 15 July 2014

Chowdhury SH, Cozma AI, Chowdhury JH. Infertility. Essentials for the Canadian Medical

Licensing Exam: Review and Prep for MCCQE Part I. 2nd edition. Wolters Kluwer.

Hong Kong. 2017.

Cooper TG, Noonan E, von Eckardstein S, Auger J, Baker HW, Behre HM, et al. (2010). "World

Health Organization reference values for human semen characteristics". Human

Reproduction Update. 16 (3): 231–245. doi:10.1093/humupd/dmp048. PMID 19934213.

Fertility: Assessment and Treatment for People with Fertility Problems (PDF). London: RCOG

Press. 2004. ISBN 978-1-900364-97-3. Archived from the original (PDF) on 15

November 2010.

Fertility: assessment and treatment for people with fertility problems, section: Defining

infertility". NICE Clinical guidelines, CG156. February 2013. Archived from the original

on 23 February 2013. Retrieved 14 February 2014.

Gurunath S, Pandian Z, Anderson RA, Bhattacharya S (2011). "Defining infertility--a systematic

review of prevalence studies". Human Reproduction Update. 17 (5): 575–588.

doi:10.1093/humupd/dmr015. PMID 21493634.

Himmel W, Ittner E, Kochen MM, Michelmann HW, Hinney B, Reuter M, et al. (February

1997). "Management of involuntary childlessness". The British Journal of General

Practice. 47 (415): 111–118. PMC 1312893. PMID 9101672.

Infecundity, Infertility, and Childlessness in Developing Countries" (PDF). World Health

Organization. Archived from the original (PDF) on 16 November 2020.

Makar RS, Toth TL (June 2002). "The evaluation of infertility". American Journal of Clinical

Pathology. 117 (Suppl): S95-103. doi:10.1309/w8lj-k377-dhra-cp0b. PMID 14569805.

Tamparo C, Lewis M (2011). Diseases of the Human Body. Philadelphia, PA: F.A. Davis

Company. pp. 459. ISBN 9780803625051.

Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. (GBD 2015 Disease and

Injury Incidence and Prevalence Collaborators) (October 2016). "Global, regional, and

national incidence, prevalence, and years lived with disability for 310 diseases and

injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015".

Lancet. 388 (10053): 1545–1602. doi:10.1016/S0140-6736(16)31678-6. PMC 5055577.

PMID 27733282.