X2 · Concern about fertility
Actual Sexual and reproductive health
Definition
The person is worried about the ability to have children.- Hormone problems
- surgery
- infection
- age
- Anxiety
- sadness
- questions
- failed conception
📋 Scenario
A couple has tried for two years without pregnancy.
Subjective (S): "We've been trying for two years."
Objective (O): Couple tearful; anxious; failed conception; no known cause.
Assessment tools for this scenario: CP-SEX Sexual & Reproductive Health Check CP-MIND Mood & Mind Screen
Validated scales to consider: PLISSIT, PHQ-9, GAD-7, C-SSRS
**CarePath diagnosis:** Concern about fertility related to hormone problems, as evidenced by anxiety and sadness.
**Interventions and rationale**
| Intervention | Rationale |
|---|---|
| Listen. | Listening gives the couple a safe place to share grief and anxiety, which can ease emotional strain and strengthen their relationship. |
| Give information. | Clear facts about normal conception times and common causes correct myths and reduce self-blame, helping them make decisions. |
| Refer for testing. | Testing can find a treatable cause in either partner, so referral gives them a path forward and answers the question of why they have not conceived. |
| Offer counseling. | Counseling helps them manage sadness, stress and strain on the relationship, which are common during fertility problems. |
| Support. | Continued support shows they are not alone and helps them cope with waiting, tests and uncertain results. |
**Expected outcomes**
- Referred for testing.
- Receives counseling.
- Understands options.
- Copes with stress.
**Linking the data to the diagnosis**
This is an actual problem because the couple is already distressed. They have tried for two years without pregnancy, are tearful and anxious, and say, "We've been trying for two years." No cause is known, so the statement is about worry and coping, not a diagnosed fertility disorder. The plan listens, informs, arranges testing, offers counseling and supports them. The aim is that they are referred for testing, receive counseling, understand their options and cope with stress.
CarePath diagnosis
Concern about fertility related to hormone problems, as evidenced by anxiety and sadness.
Interventions and rationale
Listed in priority order.
| Intervention | Rationale |
|---|---|
| 1. Listen. | Listening gives the couple a safe place to share grief and anxiety, which can ease emotional strain and strengthen their relationship. |
| 2. Give information. | Clear facts about normal conception times and common causes correct myths and reduce self-blame, helping them make decisions. |
| 3. Refer for testing. | Testing can find a treatable cause in either partner, so referral gives them a path forward and answers the question of why they have not conceived. |
| 4. Offer counseling. | Counseling helps them manage sadness, stress and strain on the relationship, which are common during fertility problems. |
| 5. Support. | Continued support shows they are not alone and helps them cope with waiting, tests and uncertain results. |
Expected outcomes
- Referred for testing.
- Receives counseling.
- Understands options.
- Copes with stress.
Linking the data to the diagnosis
This is an actual problem because the couple is already distressed. They have tried for two years without pregnancy, are tearful and anxious, and say, "We've been trying for two years." No cause is known, so the statement is about worry and coping, not a diagnosed fertility disorder. The plan listens, informs, arranges testing, offers counseling and supports them. The aim is that they are referred for testing, receive counseling, understand their options and cope with stress.