Madaktari wote piteni hapo tusaidiane juu ya hii case.

[Rasokauzu]

50 year old woman presented at the Gyne clinic due to failure to conceive after one year of unprotected sexual intercourse. She was married one year go. Her husband is 34 years old, recently graduated from MUHAS.He neither takes alcohol nor cigarette smoking.he likes playing football. In menstrual history, her menses are painless, coming for 2-3 days after every 40-60 days. She has no pain during intercourse and has normal libido.on general examination she has normal stature, slightly obese ( BMI 26), normal body hair distribution and normal vital signs.There was no anterior neck swellling.Her chest and breast looked normal and no breast lump or nipple discharge. On abdominal examination there was normal contour, no tenderness on palpation. Pelvic examination revealed normal pubic hair distribution, normal clitoris and vaginal opening.bimanual pelvic examination revealed normal sized anteverted uterus and non tender adnexae. Describe the management of this case include Dx, DDx

 

[Sky Eclat]

Ufahamu tu kuwa wengine ni after 40 wengine ni 45 fertility levels zinakua halved, wengine wataendelea.

 

[X-pen]

are you a doctor, or are you a which doctor, 50 years woman complaining failure to conceive after 1 year unprotected sex, this is jokes eeehhh, bt to help you possibly the dx of that woman could be MENOPOUSE,. So you can advise her go on doing sexual intercourse to minimize or prevent the risk for osteoporosis.

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[Monkey D. Luffy]

my colleague is correct her cycle is lengthening 40-60 days and most likely she isn't releasing ova she's premenopausal if not already in menopause

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[nzikudaima]

This condition it seems like pre menopause so she should continue with sexual and daily tablets for woman to prevent osteoporosis

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[LOCAL SPONSOR]

Menopause hiyo, fanya hormone profile utajionea

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[bryan2]

angekua below 50 hrs na she never conceive tungesema ni Primary infertility

Sasa huyo she is above 45 ambapo most of the women wanaanza kupata Pre Menopause Syndrome ikiwa ni pamoja na inability to conceive,Dryness of...,Night sweating

Counselling&guidance is very important to your Client

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[mchakavumlasana]

Hii ni assignment??

 

[likandambwasada]

HAYA AKINA Sky Eclat UWANJA WENU HUU, LAKINI WAKATI MWINGNE UMRI UNAAFFECT UWEZO WA KUBEBA MIMBA.