Mr. and Mrs. John Takahama, a young couple who had been trying unsuccessfully to have a...

Mr. and Mrs. John Takahama, a young couple who had been trying unsuccessfully to have a family for years, underwent a series of tests with a fertility clinic to try to determine the problem. Mr. Takahama was found to have a normal sperm count, and the sperm morphology and motility were normal. Mrs. Takahama's history sheet revealed that she had two episodes of PID during her early 20s, and the time span between successive menses ranged from 21 to 30 days. She claimed that her family was "badgering" her about not giving them grandchildren and that she was frequently despondent. A battery of hormonal tests was ordered, and Mrs. Takahama was asked to perform a cervical mucus test and daily basal temperature recordings. Additionally, gas was blown through her uterine tubes to determine their patency. Her tubes proved to be closed and she was determined to be anovulatory. (1) If Mr.Takahama count had been low, what type of information should be collected to determine the cause of the low count? (2) What do you suggest might have caused the closing of her tubes? Which of the tests done or ordered would have revealed her anovulatory condition? What is PID? What would cause this condition?

Expert Solution

Question no 1

Information to be collected from Mr Takahma

Whether he is having any inherited chromosome abnormalities
If any family members suffer the same
Whether his hair is falling apart a lot then it means he is having hormonal imbalance
Celiac disease has high risk to cause low sperm count
All medication that he take should be asked and reviewed
His job should be asked and any chemical exposure
Radiation exposure if any
If he is a smoker
Alcohol overuse can cause low sperm count

Question no 2

Reason for blocking fallopian tube

Infections that might have taken place
Pelvic adhesion has a higher risk of causing fallopian tube block
Scar tissue formation in the fallopian tube .
Burst of appendix
Endometriosis can cause this
Abdominal surgery

These are the main reasons and for her the cause would be pelvic inflammatory disease

Gas blow through the uterine cavity revealed the closed fallopian tube and also it cannot be determined by hormonal test

Pelvic inflammatory disease is a disease that cause the inflammatory response in pelvic cavity due to triggered factors

Cause

Gonnorhea infection
Chlamydia infection
Having intrauterine devices
Unprotected sexual contact

Sydney Mullin answered 2 years ago

Ted and Alice’s House Purchase Decision Ted and Alice are a young couple who have been...

Ted and Alice’s House Purchase Decision Ted and Alice are a young couple who have been living in an apartment for the first two years of their marriage. They would like to buy their first house but do not know if they would be able to make ends meet. Ted works as a carpenter’s apprentice, and Alice is a customer service specialist at a local bank. In 2011, Ted’s “take-home” wages (after taxes and deductions) were $24,000, and Alice’s take-home...

A) Mr. and Mrs. T have two young children, and file a joint return. They have...

A) Mr. and Mrs. T have two young children, and file a joint return. They have salary income of $67,000, and interest income of $400. Their itemized deductions total $8,750, and their federal income tax withheld was $2,170. Mrs. T received a cash gift of $20,000 from her aunt during the year. Compute their refund or balance due (the year is 2018). Show your calculations. B) Mr. and Mrs. V have three children, and file a joint return. They have...

Mr. and Mrs. Evans are an African American couple who retired from the school system last...

Mr. and Mrs. Evans are an African American couple who retired from the school system last year. Both are 65 years of age and reside on 20 acres of land in a large rural community approximately 5 miles from a Superfundsite and 20 miles from two chemical plants. Their household consists of their two daughters, Anna, aged 40 years, and Dorothy, aged 42 years; their grandchildren, aged 25, 20, 19, and 18; and their 2-year-old great-grandson. Anna and Dorothy and...

Suppose that a young couple has just had a baby boy, and they wish to have...

Suppose that a young couple has just had a baby boy, and they wish to have enough saved to fund four years of college education at a school like UCLA when their son is at the ages of 19-22. Suppose this year’s total expense of an undergraduate student at WashU, including tuition, room and board, books and supplies, amounts to $74,000. This annual cost is expected to grow at 3.5% a year. To simplify the timeline, they assume that all...

You work in a "planning" clinic and follow a young couple who are planning to have...

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...

1. Mr and Mrs Smith and Mr and Mrs Doe both had baby girls at Bay...

1. Mr and Mrs Smith and Mr and Mrs Doe both had baby girls at Bay Hospital. The hospital mixed up which girl belonged to which couple. Baby X is blood type O, Baby Y is blood type A. Mr Smith is blood type AB. Mr Doe is blood type B. Both Mrs Smith and Mrs Doe are blood type A. Can you solve which baby goes to which couple? In the form below, list all possible genotypes and indicate...

The Beall Family: Crissy and John Beall are a childless couple who thought they could have...

The Beall Family: Crissy and John Beall are a childless couple who thought they could have a genetic child until they heard about surrogate motherhood. Mrs. Crissy Beall was diagnosed with Cancer of the uterus while in her mid 20’s and had a total hysterectomy. They have asked Dr. Ellis if he would artificially inseminate her widowed Mother (Nancy Hoffman), 51 years old with his husband’s (Mr. John Beall) sperm, so they can have a child that is genetically linked...

7. One of your neighbors, Mr. and Mrs. Schekel, ( an elderly couple that always bring...

7. One of your neighbors, Mr. and Mrs. Schekel, ( an elderly couple that always bring cookies when they visit ) has been very interested in hearing about your experiences at university. They would like to send their granddaughter to your university in 8 years’ time. You estimate that tuition will be $45,000 the first year , and the tuition will grow at 1.26% annually. They estimate it will take her 5 years to complete her undergraduate and MBA degrees,...

Mr. & Mrs. Gere. who are filing a joint return, have adjusted gross income of $50,000....

Mr. & Mrs. Gere. who are filing a joint return, have adjusted gross income of $50,000. During the tax year, they paid the following medical expenses for themselves and for Mr.s Gere's mother, Mrs. Watson. The Gere's claim Mrs. Wastson as a dependent. Insulin for Mr. Gere $1,000 Health Insurance premiums for Mrs. Gere $3,100 The hospital bill for Mrs. Watson $5,200 Doctor bill for Mrs. Gere $4,000 Mr. & Mrs. Gere received no reimbursement for the above expenditures. Calculate...

A young girl who had never been immunized to tetanus stepped on a rusty nail and...

A young girl who had never been immunized to tetanus stepped on a rusty nail and got a deep puncture wound. The doctor cleaned out the wound and gave the child an injection of tetanus antitoxin. Why was antitoxin given instead of the tetanus vaccine? If the girl receives no further treatment and steps on a rusty nail again 3 years later, will she be immune to tetanus?

Question