Question

You work in a "planning" clinic and follow a young couple who are planning to have a first child soon. Unfortunately the couple experiences some difficulties.Several months later and after several attempts, you have a second
meeting with the couple who failed to give birth. You ask thishave a blood sample taken from them. The woman's blood work returns to normal, except for a low levelovarian hormones. Note that the woman is, at this time, in the phase
luteal of its ovarian cycle.
a) How does this result explain the woman's inability to get pregnant?
(Explain in detail the physiological processes impacted by hormones
ovaries at this stage of the cycle and how they influence the ability of the
woman to get pregnant)
b) What would you prescribe the woman to deal with the problem? Why?
(Make the connection between the physiological processes described in a) and your choice of treatment

Answer 1

1) just before starting of luteal phase, LH surge has occured, and after 2)3 days of the surge graafian follicle has ruptured due to which corpus luteum and ovum are present in ovary, and further ovum will move into uterus via fallopian tube, and may concieve,

But here role of corpus luteum is the secreation of hormones primarily progesterone and indirectly estrogen as well, these hormones play an important role in secreation of glands of endometrium and secreatory phase continues which prepares uterus for implantation of zygote, and helps zygote to from and provides life, but according to report as ovarian hormones are less in luteal phase it shows endometrium in not growing and implantation is not possible for zygote, and doesn't makes pregnancy possible

2) in such conditions when ovarian hormones are less, i.e; both progesterone and estrogen are in low level, supplement for them is required which is hormone replacement therapy is given

Premphase comes in a dispenser containing 28 tablets. Take one maroon tablet (containing only estrogen) once daily on days 1 to 14, and take one light-blue tablet (containing estrogen and progestin) once daily on days 15 to 28. Begin a new dispenser the day after you finish the last one.

Patient must take care, to regularly update or consult doctor if any side effect of complication is there while taking medicine, like flushes, nausea, vomiting, or anything