Reproductive Issues in Nursing Practice
A. The Menstrual Cycle
,B. Fertility Awareness
1. Natural Family Planning
, - Tracking cycle
- Day 1 is FIRST day of bleeding
- If unregular, track for several months to find longest and shortest
cycle
- Calculate your fertile days
- Monitoring cervical mucus
- Thinner and stretchy = closer to ovulation
- Basal Body temp
- Dips, the elevates 0.4-0.8 at ovulation
2. Hormonal Methods of Contraception
- Estrogen and progesterone
- NOT safe for women who have hx of clots or are at higher risk
(smoking)
- The pill
- The patch
- Nuva ring
- JUST progesterone
- Safer for people with clot history
- The “mini” pill
- Depo Shot (May cause osteoporosis in adolescents suggest vit
D & calcium)
- Implant (Good for 3 years)
- Mirena IUD
C. Infertility (Primary and Secondary)
1. Issues Related to Infertility Treatment
- Reduced ability to conceive
- Lack of conception after 12 months of unprotected sex
- Primary: Women who have never had a child
- Secondary: Women who have gotten pregnant, but cant again (is this
the same partner?)
- Factors
- Age of women
- Physical malformation of reproductive organs in women
A. The Menstrual Cycle
,B. Fertility Awareness
1. Natural Family Planning
, - Tracking cycle
- Day 1 is FIRST day of bleeding
- If unregular, track for several months to find longest and shortest
cycle
- Calculate your fertile days
- Monitoring cervical mucus
- Thinner and stretchy = closer to ovulation
- Basal Body temp
- Dips, the elevates 0.4-0.8 at ovulation
2. Hormonal Methods of Contraception
- Estrogen and progesterone
- NOT safe for women who have hx of clots or are at higher risk
(smoking)
- The pill
- The patch
- Nuva ring
- JUST progesterone
- Safer for people with clot history
- The “mini” pill
- Depo Shot (May cause osteoporosis in adolescents suggest vit
D & calcium)
- Implant (Good for 3 years)
- Mirena IUD
C. Infertility (Primary and Secondary)
1. Issues Related to Infertility Treatment
- Reduced ability to conceive
- Lack of conception after 12 months of unprotected sex
- Primary: Women who have never had a child
- Secondary: Women who have gotten pregnant, but cant again (is this
the same partner?)
- Factors
- Age of women
- Physical malformation of reproductive organs in women
