Mr. J, 29, and Ms. S, 30, have been together for five years. A year ago, they decided they wanted to have a baby, and they stopped using birth control. At first, they did not pay attention to the timing of their sexual activity in relation to Ms. S menstrual cycle, but after six months passed without Ms. S becoming pregnant, they decided to try to maximize their efforts. They knew that in order for a woman to become pregnant, the man’s sperm must encounter the woman’s egg, which is typically released once a month through a process called ovulation. They also had heard that for the average woman, ovulation occurs around day 14 of the menstrual cycle. To maximize their chances of conception, they tried to have sexual intercourse on day 14 of Ms. S menstrual cycle each month. After several months of trying this method, Ms. S is still not pregnant. She is concerned that she may not be ovulating on a regular basis because her menstrual cycles are irregular and often longer than the average 28 days. Mr. J is also concerned about his own fertility. He had some injuries to his testicles (testes) when he was younger, and wonders if that may have caused a problem with his sperm. QUESTION: What are the possible reason why Ms. S. Can’t get pregrant? What particular test they must undergo to check their fertility. Give clinical procedures on what are you going to do.

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
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Mr. J, 29, and Ms. S, 30, have been together for five years. A year ago, they decided they wanted to have a baby, and they stopped using birth control. At first, they did not pay attention to the timing of their sexual activity in relation to Ms. S menstrual cycle, but after six months passed without Ms. S becoming pregnant, they decided to try to maximize their efforts. They knew that in order for a woman to become pregnant, the man’s sperm must encounter the woman’s egg, which is typically released once a month through a process called ovulation. They also had heard that for the average woman, ovulation occurs around day 14 of the menstrual cycle. To maximize their chances of conception, they tried to have sexual intercourse on day 14 of Ms. S menstrual cycle each month. After several months of trying this method, Ms. S is still not pregnant. She is concerned that she may not be ovulating on a regular basis because her menstrual cycles are irregular and often longer than the average 28 days. Mr. J is also concerned about his own fertility. He had some injuries to his testicles (testes) when he was younger, and wonders if that may have caused a problem with his sperm.

QUESTION:
What are the possible reason why Ms. S. Can’t get pregrant?
What particular test they must undergo to check their fertility.
Give clinical procedures on what are you going to do.

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