FERTILITY AND FAMILY - PowerPoint Presentation

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FERTILITY AND FAMILY

Dr Danie BothaSlide2

The Levite and His Concubine. A story of a nameless woman.

“.. She left him and went back to her father’s house in Bethlehem, Judah. After she has been there for four months, her husband went to her to persuade her to return…..

…”you are welcome at my house”, the old man said. While they were enjoying themselves, some of the wicked men of the city surrounded the house. Pounding on the door, they shouted to the old man “Bring out the man who came to your house so we can have sex with him.”

The owner of the house went outside and said to them, “No my friends, don’t be so vile. Since this man is my guest, don’t do this disgraceful thing. Look, here is my virgin daughter, and his concubine. I will bring them out to you now, and you can use them and do to them whatever you wish. But to this man, don’t do such a disgraceful thing”.

WOMANHOODSlide3

So the man took his concubine and sent her outside to them, and they raped her and abused her throughout the night, and at dawn they let her go.

At daybreak the woman went back to the house where her master

was staying, fell down at the door and lay there until daylight.

When her master(husband) got up in the morning (after a good night’s rest) and opened the door of the house and stepped out to continue on his way, (low and behold!), there lay his concubine, fallen in the doorway with her hands on the threshold.He said to her, “Get up ; let’s go.” Slide4

But there was no answer. (Our nameless woman has died)… Then the man put her on his donkey and set out for home.

When he reached home, he took a knife and cut up his concubine, limb by limb, into twelve parts and sent them into all the areas of his homeland.………….

Judges 19. The Holy Bible, NIV Slide5

The War of the SexesSlide6

The

Women's movement (also known as the women's liberation, or feminism) refers to a series of campaigns for reforms on issues such as

reproductive rights, domestic violence, maternity leave, equal pay, women's suffrage, sexual harassment, and sexual

violenceFeminism began in the western world in the late 19th century and has gone through three waves.Slide7

First-wave

feminism was oriented around the station of middle- or upper-class white women and involved suffrage and political equality

.

Second-wave feminism attempted to further combat social and cultural inequalities. Third-wave feminism

is continuing to address the financial, social and cultural inequalities and includes renewed campaigning for greater influence of women in politics and media.

In

reaction to political activism, feminists have also had to maintain focus on women's reproductive rights.Slide8

Traditional role

Career orientatedSlide9

Modern Day WomenSlide10

The United Nations Human Development Report 2004

estimated that when both paid employment and unpaid household tasks are accounted for, on

average women work more than men

. In rural areas of selected developing countries women performed an average of 20% more work than men, or 120% of men's total work, an additional 102 minutes per day. According to UN Women, "Women perform 66 percent of the world's work, produce 50 percent of the food, but earn 10 percent of the income and own 1 percent of the property.Slide11

Female Gender and Human Rights

Gender equality, or modern day concubines?Slide12

Female Circumcision: TodaySlide13

Female genital mutilation

(FGM), also known as female

circumcision (FC), is

defined by the WHO as "all procedures that involve partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons.”

4 Years till puberty

Usually

performed without

anaesthesia

by a traditional circumciser using a knife, razor or scissors

Silenced WomanSlide14

It is practiced mainly in 28 countries in western, eastern, and north-eastern Africa, particularly Egypt and Ethiopia, and in parts of Asia and the Middle East

The WHO estimates that 140 million women and girls around the world have experienced it, including 101 million in Africa.Slide15

Modern Women

Different StrugglesSlide16

Cancer :

Breast ca most frequently diagnosed malignancy , leading cause of death in women worldwide

Stress :

Depression: Prevalence in women double that of men. 17% . Anxiety disorder 12%Relationships : CDC 2010: Current evidence is that half of first marriages end in divorce.Lifestyle: Genital HPV infection USA 39%, HIGHEST IN WOMEN 20-24 years (45%)Infertility: 10-15%

ChallengesSlide17

The right to planned parenthood

The right to parenthoodSlide18

My wife is good at making cysts, but bad at making babies..

4

th

November 2014. Husband accompanying his wife at early morning sonar for ovarian responseSlide19
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F

Female Health. Infertility

E

Endoscopy, Endocrinology, EndometriosisM Male Infertility,

Andrology

B

(Babies are our reason to GET UP!)

R

Reproductive Technology Laboratory

Y

(

Yipphee

if your pregnant)

O

Oocyte and Sperm PreservationSlide21

InfertilityFertility preservation for patients with cancer

Oocyte and Sperm DonationAssisted Reproduction Techniques (ART)When should you seek help?

OverviewSlide22

InfertilitySlide23

What is InfertilitySlide24
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Female factorsSlide26

PCOS :Body Mass IndexSlide27

EndometriosisSlide28

LaparoscopySlide29

Stage I, II

Stage IVSlide30

TreatmentSlide31

Medical treatmentSlide32

Fertility preservation for patients with cancer

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Breast cancerSlide34

Effect of Chemotherapy on fertilitySlide35

Cryopreservation of embryos and mature oocytes, spermSlide36

If possible, if surgery is the first step in tumour management, proceedings with the surgery should be followed by COH.

This will take 12-14 days after which adjuvant therapy may be initiated where indicated.

IVF Slide37

Pregnancy after Breast CancerSlide38

SummarySlide39

Oocyte and Sperm Donation

Sperm donor

Oocyte (egg) donorSlide40

In Vitro Fertilization (IVF)Slide41

Consultation

Female

MaleSlide42
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Ovulation inductionInsemination

In Vitro FertilizationICSI/ PICSI/IMSI

Treatment modalitiesSlide44
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Thank You