MD7_Assgn1_6501

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Walden University *

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6501N

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Nursing

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Apr 29, 2024

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docx

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4

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1 Case Study Analysis: Concepts of Women’s and Men’s Health, Infections, and Hematologic Disorders Master of Science in Nursing, Walden University NURS 6501N: Advanced Pathophysiology May 7, 2023
2 Introduction Several diseases and disorders affect men and women differently. Men can have conditions that women do not, and vice versa. Understanding how men and women are affected by distinct diseases is vital to proper diagnosis and treatment. In this paper, the case of a 42-year-old man will be examined. The factors that affect fertility, why inflammatory markers rise in sexually transmitted diseases (STD), why prostatitis infections occur, and the reason for the systemic reaction will be explained. Factors Affecting Fertility The patient described in the scenario is likely experiencing prostatitis, inflammation of the prostate (McCance & Huether, 2019). When semen travels through the prostatic portion of the urethra, the prostate gland contracts and releases prostatic fluid into the mixture. The alkaline fluid helps sperm to survive in the acidic environment of the female reproductive tract. Prostatic fluid also contains clotting enzymes and fibrinolysin that help with sperm migration. Prostatitis activates inflammatory cells within the prostate that damage sperm protein, DNA, and membrane integrity (Ihsan et al., 2018). Sperm that are damaged or cannot move effectively to fertilize an ovum can negatively affect fertility. Sexually transmitted infections (STIs) can also cause prostatitis and infertility in men (Korzeniewski et al., 2020). Although gram-negative Enterobacteriaceae and Enterococci are the most common cause of acute and chronic bacterial prostatitis, STIs such as Neisseria gonorrhoeae and Chlamydia trachomatis are also known to cause the condition (McCance & Huether, 2019; Davis & Silberman, 2023). Women infected with STIs by their partners could develop pelvic inflammatory disease (PID), potentially resulting in infertility (Horner et al., 2021). The condition causes scarring in the fallopian tubes, making passage and fertilization of the ovum difficult. Why Inflammatory Markers Rise in Sexually Transmitted Infections STIs are caused by several different kinds of microorganisms, such as bacteria, polymicrobial, viruses, protozoa, ectoparasites, and fungi (McCance & Huether, 2019). As with most infections, when
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