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Considering infertility Rels 300 / Nurs 330 8 January 2014

Considering infertility Rels 300 / Nurs 330 8 January 2014. ( http://www.cartoonstock.com/directory/a/artificial_insemination.asp ). Infertility. Affects approximately 1 out of every 8 (some say 6) couples in Canada

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Considering infertility Rels 300 / Nurs 330 8 January 2014

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  1. Considering infertility Rels300 / Nurs 3308 January 2014 (http://www.cartoonstock.com/directory/a/artificial_insemination.asp ) 300/330 - appleby

  2. Infertility • Affects approximately 1 out of every 8 (some say 6) couples in Canada • Medically defined as inability to conceive after one year of unprotected intercourse • Incidence is lower for women between the ages of 18 and 29, and greater for women between 30 and 44 • May be broadened to include people who desire to have children, but who are not in stable heterosexual relationships – e.g., single persons, lesbian women or couples, gay males or couples 300/330 - appleby

  3. Medical causes of infertility • Sexually transmitted infections • Smoking (both women and men) • Delayed childbearing • Exposure to harmful agents • Workplace and environmental toxic substances • Alcohol and substance use • Weight (obesity and malnourishment), eating disorders, exercise, stress • Medical interventions • Endometriosis 300/330 - appleby

  4. Specific Reproductive Causes of Infertility FEMALE FACTORS: • Blocked fallopian tubes • Irregular or absent ovulation • Endometriosis • Cervical irregularities, e.g., hostile cervical mucus • Uterine fibroids or polyps • Hormonal imbalances • Early menopause • Age (+ 35) • STI history • Cancer treatments (chemo, radiation, surgery) 300/330 - appleby

  5. Male factors in infertility • Low sperm counts, or no sperm • Low motility rates / low rate of movement • Abnormal morphology of sperm / physical abnormalities • STI history • Hormonal imbalances • Cancer treatments: chemo, radiation or surgery 300/330 - appleby

  6. Male or female factors? • 30% of infertile couples are infertile due to male causes • 40% are infertile due to female causes • 20% are infertile due to a mix of male and female factors • 10% - no specific cause of infertility can be found 300/330 - appleby

  7. Responding to Infertility Adoption • Do you have an adopted child in your family? • What was the process for adopting this child? • How is this child treated in your family? • How does this child feel about being adopted? • What are the best things about adoption? • Are there any down-sides to adoption? 300/330 - appleby

  8. Why not adoption? What reasons do individuals or couples have for rejecting adoption as a solution to their infertility? • Personal reasons? • Social reasons? • Biological reasons? • Genetic reasons? • Additional considerations? 300/330 - appleby

  9. Is infertility a medical condition? • There are medical conditions that contribute to infertility • There are reproductive technologies that correct, overcome or circumvent the medical condition • However, many reproductive technologies result in babies for infertile persons or couples without addressing the cause of infertility 300/330 - appleby

  10. How is success measured? • Success in overcoming the medical condition of infertility is measured by the provision of a child • With a series of interventions that become increasingly technological, male and female infertility factors are largely circumvented, rather than corrected • Reproductive services arose within and are aligned with research agenda designed to ultimately create human life outside of the human body • Minimal primary research is being done on the medical condition of infertility 300/330 - appleby

  11. Social dimensions of infertility Why do individuals and couples desire to have children? • Divine commandment to “be fruitful and multiply” • To provide a future for a religious, racial or cultural community • To ensure a genetic heritage for future generations • As evidence of mature and responsible adult status • To demonstrate or strengthen a couple’s love • To satisfy a deep hunger or longing for a baby 300/330 - appleby

  12. http://www.indiegogo.com/infertileground (5:23)1 in 6 couples face infertility. Most suffer in silence,too ashamed to tell friends and family. 300/330 - appleby

  13. Reproductive rights • Do individuals/couples have a right to reproduce? • Is this a universal human right, like the right to life? 300/330 - appleby

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