Mr. and Mrs. John Takahama, a young couple who had been tryingunsuccessfully to have a family for years, underwent a series oftests with a fertility clinic to try to determine the problem. Mr.Takahama was found to have a normal sperm count, and the spermmorphology and motility were normal. Mrs. Takahama's history sheetrevealed that she had two episodes of PID during her early 20s, andthe time span between successive menses ranged from 21 to 30 days.She claimed that her family was \"badgering\" her about not givingthem grandchildren and that she was frequently despondent. Abattery of hormonal tests was ordered, and Mrs. Takahama was askedto perform a cervical mucus test and daily basal temperaturerecordings. Additionally, gas was blown through her uterine tubesto determine their patency. Her tubes proved to be closed and shewas determined to be anovulatory. (1) If Mr.Takahama count had beenlow, what type of information should be collected to determine thecause of the low count? (2) What do you suggest might have causedthe closing of her tubes? Which of the tests done or ordered wouldhave revealed her anovulatory condition? What is PID? What wouldcause this condition?
