Name-

KhodkeAmr
uteshAr
un

Gr
oup1529

Tasks07.
05.
20

Case1-Di
agnosi
s-Endocr
inei
nfer
ti
li
ty(pr
imar
yinf
ert
il
it
y)

Just
if
icat
ion-i
nfer
ti
li
tyof4y
rs

Exami
nat
ion-Ast
heni
cski
ny

Bimanual
examinat
ion-t
hesacrout
eri
nel
i
gament
sar
epai
nful
onpal
pat
ion-Ext
ernal
Endometr
iosi
smaybepr esent

Endocr
ani
alf
act
or-Ast
heni
c

Di
schar
gef
rom t
hegeni
tal
tractar
ewat
ery
,consi
stent
,wi
thmucusandwhi
tei
ncol
or.

Tr
eat
ment
-Regul
ati
onofmenst
rual
cycl
ecor
rect
ionwi
thbasi
cdi
seasemani
fest
ati
on

Cl
omi
pheneci
tr
ate50mg,
let
rozol
e2.
5-7.
5mgst
art3-
5dayofcy
clef
or5day
s,FSH

Humanmenopausal
gonadot
ropi
n

I
ntr
aut
eri
nei
nsemi
nat
ion,
IVF

Case2-Di
agnosi
s-Tubal
andper
it
oneal
inf
ert
il
it
y

Just
if
icat
ion-I
nfect
ionandadnexi
ti
s,hadadnexi
ti
sasacompl
i
cat
ionaf
termedi
cal
ter
minat
ion
ofpr
egnancy.

Specul
um enamenati
o-uter
ineappendageonbot
hsi
dear
epai
nlessonpal
pat
ionandpr
esence
ofheavy
nessinthepelv
icarea.

Exami
nat
ionr
eveal
edachl
amy
dial
inf
ect
ionandel
evat
edl
eucocy
tes

Tr
eat
ment
-Inv
itr
ofer
ti
li
zat
ionf
ort
ubal
blockage

I
ntr
auteri
nei
nsemi
nat
ionnotr
ecommended,
Ant
ibi
oti
csf
ori
nfect
ion-Azi
thr
omy
cin500mg
Doxycycl
i
ne100mg

BI
Dforoneweek