1st Problem Set 1. A woman has had several bouts of pelvic inflammatory disease and now wants to have children. However, she has been having difficulty becoming pregnant. What is likely to be the problem, and what would you suggest?
Pelvic inflammatory disease (PID) is an infection of the pelvic organs: the uterus, fallopian tubes, ovaries, and their supporting structures usually caused by bacteria. The more times you have pelvic inflammatory disease, the more likely it is that you won't be able to get pregnant. When you have pelvic inflammatory disease, bacteria infect the tubes or cause inflammation of the tubes. This turns normal tissue into scar tissue. Scar tissue can block your tubes and make it harder to get pregnant. Even having just a little scar tissue can keep you from getting pregnant without infertility treatment. Commonly the Sexual Transmitted Disease like gonorrhea, chlamydial and also the Intra Uterine Device (IUD) affects the fertility of women.
Pelvic inflammatory disease is most often caused by an STI that hasn't been treated. You can keep from getting pelvic inflammatory disease by not getting an STI. But I would suggest that the client should consult a physician for her to be assess and for her to be prescribed a proper antibiotic to be taken and management to be followed.
2. A woman who believes she is pregnant complains of edema and vaginal bleeding. Examination reveals high plasma hCG concentrations and placental tissue, but no evidence of an embryo. How would you explain this condition?
Gestational Trophoblastic Disease (Hydatidiform Mole) is an abnormal proliferation and degeneration of the trophoblastic villi. As the cells degenerate, they become filled with fluid and appear as clear fluid-filled, grape-sized vesicles. With this condition, the embryo fails to develop beyond a primitive start. The condition tends to occur most often in women who have a low protein intake, in women