You are caring for a couple who are trying to get pregnant and have not been able to for over a year. You explain to the couple that diagnostic testing usually begins on the male partner, as these tests are easier
The couple asks what kind of problems a man can have that can cause infertility. What should be the nurse's response?
A) "Men can have increased prolactin levels that decrease sperm viability."
B) "Men can have problems that increase the temperature around their testicles, which decreases the quality of their semen."
C) "Men may not have enough estrogen and FSH in their bodies to maintain testicular function."
D) "Men may ejaculate into the bladder instead of the vagina."
Ans: B
Feedback: Men may be affected by varicoceles, varicose veins around the testicle, which decrease semen quality by increasing testicular temperature. Retrograde ejaculation or ejaculation into the bladder is assessed by urinalysis after ejaculation. Blood tests for male partners may include measuring testosterone; FSH and LH (both of which are involved in maintaining testicular function); and prolactin levels. Therefore options A, C, and D are incorrect.
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