Factors Affecting Fertilization
There could be several reasons why people might have trouble conceiving. They include health issues or underlying pathological conditions that affect hormone levels, such as endometriosis, polycystic ovarian syndrome, and sexually transmitted infections (Shreffler et al., 2017). Other causes include reproductive system structural abnormalities like blocked fallopian tubes and defective sperm cells (Shreffler et al., 2017). In addition, lifestyle factors, including excessive alcohol consumption and tobacco smoking, unhealthy diet, extreme weight changes, and too much stress, may result in trouble conceiving (Shreffler et al., 2017). Advanced age, wrong timing for sexual intercourse during the menstrual cycle, and the choice of contraception could also influence the ability to conceive; for instance, the presence of an intrauterine device could prevent successful conception (Shreffler et al., 2017).
In this scenario, ovulation occurs without fail in every cycle, and the sperm count is normal; the most likely cause could be untimely sexual intercourse. A couple could be having sexual intercourse during safe days without knowing. It is hard to know precisely when one is ovulating, especially when one is unaware of the subtle changes during this time. And with a busy schedule with daily living and work activities, it becomes even harder to keep track.
There are different ways of ensuring the optimization of the ovulation period. This requires awareness and tracking of what is happening with your body throughout the menstrual cycle. Symptoms need to be recognized and taken into account. Some changes include breast tenderness, cervical mucus changes to egg-white consistency, the ascent of the cervix, and a softer texture (Dewit et al., 2016). Some methods used are the calendar method, basal body temperature method, cervical mucus method, ovulation predictor kit method, and the symptothermal method. The procedure with the best efficiency is shown to be the symptothermal method, which incorporates the basal body temperature method, cervical mucus method, and the calendar method, which is efficient in promoting optimum conception (Polis et al., 2021)
Dewit, S. C., Stromberg, H., & Dallred, C. (2016). Medical-surgical nursing: Concepts & practice. Elsevier Health Sciences.
Polis, C. B., Otupiri, E., Bell, S. O., & Larsen-Reindorf, R. (2021). Use of fertility awareness-based methods for pregnancy prevention among Ghanaian women: A nationally representative cross-sectional survey. Global Health: Science and Practice, 9(2), 318-331. https://doi.org/10.9745/ghsp-d-20-00601
Shreffler, K. M., Greil, A. L., & McQuillan, J. (2017). Responding to infertility: Lessons from a growing body of research and suggested guidelines for practice. Family Relations, 66(4), 644-658. https://doi.org/10.1111/fare.12281
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Stacey and Paul are having difficulty conceiving a child. Stacey ovulates every 28 days, and Paul’s sperm count appears normal.
Research reasons why they may be having difficulty. Discuss a few different reasons, then focus on one reason that you think might be likely. Go into detail on what happens to reduce the likelihood of conception in this instance, and explain what might be done to increase the likelihood of conception.
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