1. Explain to the patient wait and see
- spontaneous conception can occur after – 1 year 85%
2 years 90 %
3 years 92-95%
2. Lifestyle modification
- no smoking
- reduced alcohol consumption – female 1-2 units/week
- male 2-3 units/week
3. Avoid stressful condition
- spacing sexual intercourse 2-3days to make sure increase sperm count and quality of sperm
4. Advice husband
- not taking hot bath or frequent sauna because this can reduced the sperm count
- do not wear tight underwear -->wear boxer
5. Advice wife on cleanliness and hygiene
- if having vaginal discharge,seek treatment ,need to treat infection first
6. Give folic acid supplement to prevent neural tube defect
7. Give other choice to patient if they don’t want wait and see..
- if still young --> can wait
- if getting older --> clomiphene -->IUI --> IVF
source : teaching with dr nasir
Hanisah A115275
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