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?

Solutions

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 1 year ago

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