Scribd Logo
Upload

Welcome to Scribd!

  • 1K views

    5.INFERTILITY Case Presentation

    Uploaded by

    nikita singh
    Mrs. S is a 24-year-old woman who has been married for 4 years and is seeking treatment for primary infertility. She has a history of painful periods and was diagnosed with endometriosis, undergoing a laparoscopic cystectomy 1 year ago. Her examination was normal. She and her husband have been having regular unprotected intercourse for 4 years without conception. Further management will be needed to address her primary infertility in the context of her history of endometriosis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    5.INFERTILITY Case Presentation

    Uploaded by

    nikita singh
    1K views12 pages
    Mrs. S is a 24-year-old woman who has been married for 4 years and is seeking treatment for primary infertility. She has a history of painful periods and was diagnosed with endometriosis, undergoing a laparoscopic cystectomy 1 year ago. Her examination was normal. She and her husband have been having regular unprotected intercourse for 4 years without conception. Further management will be needed to address her primary infertility in the context of her history of endometriosis.

    Original Description:

    Clinical case presentation - long case- obstetrics and gynaecology

    Original Title

    5.INFERTILITY case presentation

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Mrs. S is a 24-year-old woman who has been married for 4 years and is seeking treatment for primary infertility. She has a history of painful periods and was diagnosed with endometriosis, undergoing a laparoscopic cystectomy 1 year ago. Her examination was normal. She and her husband have been having regular unprotected intercourse for 4 years without conception. Further management will be needed to address her primary infertility in the context of her history of endometriosis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    1K views12 pages

    5.INFERTILITY Case Presentation

    Uploaded by

    nikita singh
    Mrs. S is a 24-year-old woman who has been married for 4 years and is seeking treatment for primary infertility. She has a history of painful periods and was diagnosed with endometriosis, undergoing a laparoscopic cystectomy 1 year ago. Her examination was normal. She and her husband have been having regular unprotected intercourse for 4 years without conception. Further management will be needed to address her primary infertility in the context of her history of endometriosis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    Case presentation-

    INFERTILITY
    Dr. Sindhuja.B
    Final year PG
    SRIHER
    Case History
    24years, Mrs.S ,
    Residing at Karapakkam,Chennai
    Education- B.Com.,
    Socioeconomic status- Class II
    Home-maker
    W/O Mr. R ,29years, driver by occupation.
    Chief complaints:
     Pain during menstruation, since 2years
     Anxious to conceive
     Married for the past 4years, living with husband
    History of presenting illness:
     H/O increased pain during mentrual cycles, since 2years
     No H/O abdominal distension, WDPV, menstrual irregularities
     No H/O bladder, bowel disturbances
     No H/O secretions from breast
     No H/O loss of weight or appetite

    Menstrual history:
     Attained menarche at 13years of age
     Regular menstrual cycles- 5-6/27-30days
     LMP: 03/12/18
     H/O congestive dysmenorrhoea, triple dysmenorrhoea + (pain reduced
    with medications)
    Marital history:
     Married since 4years (June 2014), non-consanguinous marriage
     1st marriage for both partners
     Living with husband
     No H/O contraceptive use

    Obstretic history- Nulliparous

    Coital history:
     Regular unprotected intercourse- 3-4/week
     H/O deep dysparunia +
     No H/O coital difficulties, premature or retrograde ejaculation
     No H/O use of lubricants or post- coital douching
     Wife is aware of fertile period
    Past medical history:
     No H/O DM/ HT/ thyroid disorder/ asthma/ heart disease/ renal
    disease/ epilepsy/ hyperprolactinemia/ prolonged medications
     No H/O TB/ STD/ recurrent UTI/ PID

    Past surgical history:


     H/O laproscopic ovarian cystectomy done for left endometriotic cyst
    in Nov 2017, in a private hospital.

    Personal history:
     Consumes mixed diet
     No H/O tabacco, betel-nut, smoking, alcohol intake
    Family history:
     She is the elder sister
     No H/O malignancy, infertility, TB, premature ovarian failure, early
    menopause
    Andrological history:
     Mr. R, 29years, driver by occupation
     No H/O UTI, urethral discharge
     No H/O coital difficulties, premature or retrograde ejaculation
     No H/O DM, HT, TB, prolonged medications, mumps
     No H/O previous surgeries
     Not a known smoker, occassional alcoholic
     H/O semen analysis done in Feb 2018- told to be normal
    Treatement history:
     Has undertaken treatement irregularly for the past 2.5years
     In 2016 Feb- was diagnosed with small endometriotic cyst, was not
    advised any medications
     Underwent 3cycles of OI in june- august 2016
     Tried alternative (homeo) medicines for 6months in 2017
     Diagnosed with increase in size of endometriotic cyst and hence
    underwent endometriotic cystectomy in Nov 2017- Both fallopian
    tubes were said to be patent.
     H/O OI+ TI for 3cycles in 2018, No IUI was done- was told the growth
    of follicles was not adequate
    Examination
    Height- 158cm
    General: Weight- 56.8kg
     Moderately built and nourished BMI- 22.72kg/m2
     Afebrile
     No pallor, icterus, clubbing, cyanosis, lymphadenopathy, pedal edema
     No hirsutism
     Thyroid- clinically normal
     Bilateral breasts- normal, no discharge
     Spine, gait- normal
    Systemic Examination:
     CVS- S1 S2 heard,no murmurs
     RS- VBS heard, no added sounds
     CNS- no focal neurological deficit noted
    Abdominal Examination:
    Inspection:
     All quadrants move equally with respiration
     No distension
     Umblicus normal in position
     Laproscopic scar noted, healthy
     No sinuses, visible pulsations, dilated veins
     Hernial orifices free
    Palpation: Speculum examination:
     Inspection findings are  Vagina- normal
    confirmed  Cervix appears healthy, no
     Soft, no tenderness, no discharge
    organomegaly, no palpable Bimanual pelvic examination:
    mass
     Uterus normal size, anteverted,
    Examination of the external
    mobile, no forniceal fullness or
    genitalia: tenderness
     Normal in appearance, normal Per rectal examination:
    pubic hair distribution
     No nodularity noted in POD
     Ruptured hymen
     Vulva, urethra appears normal
    Summary
    24years, Nulliparous Mrs.S, W/O Mr.R, married and staying
    together for 4years, with no marital or coital disturbances, a
    known case of endometriosis, H/O endometriotic cystectomy
    done a year back in 2017, H/O irregular treatment for
    infertility, with normal examination findings, anxious to
    conceive.

    Primary infertility with endometriosis , for


    further management
    Thank you.

    You might also like