A woman is having an infertility workup and has been told she has scarring of her fallopian tubes. What action by the nurse is best?
A.
Ask the woman how many sexually transmitted infections she has had.
B.
Assess the woman for previous vaginal infections and their treatment.
C.
Gently tell the woman that nothing can be done about scarring of the tubes.
D.
Question the woman about genetic defects or family history of infertility.
ANS: B
Anatomically, there is a continuous passage from the vagina into the uterus and on into the fallopian tubes and ovaries. A vaginal infection can lead to residual scarring of the tubes from the inflammatory process. This puts the woman at increased risk for ectopic pregnancies and infertility. Not all vaginal infections are sexually transmitted infections (STIs), and to specifically ask about STIs sounds judgmental in addition to not providing adequate information. There are several treatment options for this woman. Genetic defects may play a role in this woman's problem, but the higher likelihood is that her scarred tubes are due to a vaginal infection.
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