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A devout Catholic couple is in a dilemma whether to opt for homologous IVF or not after being married for 12 years and still no child of their own. They subjected themselves to infertility work up but to no avail. They tried many sexual activity techniques hoping for a baby but to their dismay none was given to them. They sometimes argue and blame one another because of this problem. The wife is so eager to have a child. The husband is okay with or without a child. They visited the wife’s obstetrician who was responsible also for their infertility work up and suggested if they really want to have a child, they would go for IVF. They have options: they can have their own egg and sperm or they could find a third party for surrogate. They really wanted to have a child of their own and so they come to you for advice since they were thinking to undergo homologous IVF.
What is your advice to this Catholic couple?
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- Jack and Gill are married couples with three children . The couple consulted a family planning clinic . As the nurse manning the clinic you counselled the couple regarding family planning . Jack asks the nurse about vasectomy . He understands that this is a minor operation and asks if he'll become sterile immediately . The nurse's best response is: “No you'll remain fertile ." It may takes several weeks and as many as 30 to 40 ejaculations to remove all the live sperm." You'll be sterile in 2 to 3 days ." If the procedure is done correctly you'll be sterile immediatelyEve, 27, and Lamar, 33, are a young couple who have just gotten married. They both are heavy smokers. Eve had a miscarriage before marriage when they were using a cervical mucus method of natural planning. It’s important to her now not to become pregnant again for 2 years so she can finish a master’s degree in psychology. Lamar wants a contraceptive that when discontinued, will allow fertility to return immediately. He also wants a contraceptive that will prevent sexually transmitted diseases. 1. What contraceptive would you recommend as best for Eve? 2. Lamar has special requests. What contraceptive would best meet his needs? 3. Is it safe to use a contraceptive method for as long as 2 years? What if Eve has another miscarriage, making her over 30 by the time she’s pregnant for the third time?Some couple practice natural family planning (also known as the rhythm method of birth control), which involves abstaining from sexual intercourse during the time that a woman can become pregnant in her menstrual cycle. The egg only survives in the fallopian tube from 24 hours after ovulation, so conception can only happen during a 24-hour period each month. However, this form of contraceptive is very unreliable and is not recommended for couples who are actively trying to avoid pregnancy. Which of the following is NOT a reason why this form of birth control is unreliable? A. Sperm can survive in the fallopian tubes for 3 to 5 days. B. Ovulation can be affected by stress or illness. C. Women always ovulate on the same day of their menstrual cycle every month. D. It is difficult to predict exactly when in her cycle a woman ovulates.
- Aling Glory, a 36-year-old GSPS laundry woman seeks consultation at the Family Planning Clinic. She has 5 children and her youngest is 6 months old. She wants to undergo bilateral tubal ligation (BTU). She asks about the possibility for getting pregnant after BTL Which of the following is the appropriate response of the nurse? Why don't you ask your obstetrician?" The probability is rare "Yes, you can be pregnant so you can choose another method Your doctor is an expert in BTL so you don't need to worry correct ans plzAling Glory, a 36-year-old GSPS laundry woman seeks consultation at the Family Planning Clinic. She has 5 children and her youngest is 6 months old. She wants to undergo bilateral tubal ligation (BTU). She asks about the possibility for getting pregnant after BTL Which of the following is the appropriate response of the nurse? Why don't you ask your obstetrician?" The probability is rare "Yes, you can be pregnant so you can choose another method Your doctor is an expert in BTL so you don't need to worryAdeline, a 24-year-old graduate student presents to her Family Medicine Clinic for contraceptive counseling. She and her fiancé, Josh, are planning to be married in approximately 3 months, but they’re not ready for kids just yet. Adeline states that they have been in a monogamous sexual relationship for the past 2 years; their primary method of contraception was inconsistent use of male condoms. She is here today to be evaluated for the use of hormonal contraceptives. The patient states she began menses at age 14, with irregular cycles of 25–36 days in length. Her last menses was 2 weeks ago. The patient states she has heard about contraceptive options that “keep you from having a period,” and she wants to know more about those options, and if they would be okay for her to try. She has a history of migraine headaches without aura or focal neurologic symptoms, but it is well controlled for the past 6 months on prophylactic therapy. Her mother is 52 years old, has HTN and osteoporosis.…
- Adeline, a 24-year-old graduate student presents to her Family Medicine Clinic for contraceptive counseling. She and her fiancé, Josh, are planning to be married in approximately 3 months, but they’re not ready for kids just yet. Adeline states that they have been in a monogamous sexual relationship for the past 2 years; their primary method of contraception was inconsistent use of male condoms. She is here today to be evaluated for the use of hormonal contraceptives. The patient states she began menses at age 14, with irregular cycles of 25–36 days in length. Her last menses was 2 weeks ago. The patient states she has heard about contraceptive options that “keep you from having a period,” and she wants to know more about those options, and if they would be okay for her to try. She has a history of migraine headaches without aura or focal neurologic symptoms, but it is well controlled for the past 6 months on prophylactic therapy. Her mother is 52 years old, has HTN and osteoporosis.…Adeline, a 24-year-old graduate student presents to her Family Medicine Clinic for contraceptive counseling. She and her fiancé, Josh, are planning to be married in approximately 3 months, but they’re not ready for kids just yet. Adeline states that they have been in a monogamous sexual relationship for the past 2 years; their primary method of contraception was inconsistent use of male condoms. She is here today to be evaluated for the use of hormonal contraceptives. The patient states she began menses at age 14, with irregular cycles of 25–36 days in length. Her last menses was 2 weeks ago. The patient states she has heard about contraceptive options that “keep you from having a period,” and she wants to know more about those options, and if they would be okay for her to try. She has a history of migraine headaches without aura or focal neurologic symptoms, but it is well controlled for the past 6 months on prophylactic therapy. Her mother is 52 years old, has HTN and osteoporosis.…Adeline, a 24-year-old graduate student presents to her Family Medicine Clinic for contraceptive counseling. She and her fiancé, Josh, are planning to be married in approximately 3 months, but they’re not ready for kids just yet. Adeline states that they have been in a monogamous sexual relationship for the past 2 years; their primary method of contraception was inconsistent use of male condoms. She is here today to be evaluated for the use of hormonal contraceptives. The patient states she began menses at age 14, with irregular cycles of 25–36 days in length. Her last menses was 2 weeks ago. The patient states she has heard about contraceptive options that “keep you from having a period,” and she wants to know more about those options, and if they would be okay for her to try. She has a history of migraine headaches without aura or focal neurologic symptoms, but it is well controlled for the past 6 months on prophylactic therapy. Her mother is 52 years old, has HTN and osteoporosis.…
- Adeline, a 24-year-old graduate student presents to her Family Medicine Clinic for contraceptive counseling. She and her fiancé, Josh, are planning to be married in approximately 3 months, but they’re not ready for kids just yet. Adeline states that they have been in a monogamous sexual relationship for the past 2 years; their primary method of contraception was inconsistent use of male condoms. She is here today to be evaluated for the use of hormonal contraceptives. The patient states she began menses at age 14, with irregular cycles of 25–36 days in length. Her last menses was 2 weeks ago. The patient states she has heard about contraceptive options that “keep you from having a period,” and she wants to know more about those options, and if they would be okay for her to try. She has a history of migraine headaches without aura or focal neurologic symptoms, but it is well controlled for the past 6 months on prophylactic therapy. Her mother is 52 years old, has HTN and osteoporosis.…Can you find any basis for justifying the practice of FGM ( women genital multilation )? Are there any objective moral values or principles that may support it?With all the sex that occurs in the media, why doesn’t anybody on the soaps or in movies get an STI? (Similarly, hardly anyone gets pregnant unless it’s a made-for-TV movie on the subject.) What messages do they convey about STIs and risk taking? Feel free to reference specific shows/movies. Who should be responsible for safe sex? Should women take a more active role given that most contraceptive methods are made for women? What can men do to encourage safe sex? Discuss the difference between HIV and AIDS.