The factors that affect fertility

A 58-year-old male presents to the primary care clinic. He reports that he is here to get his annual exam.  He reports that he has had some increased fatigue and noticed some difficulty with his urine stream.   His family history is remarkable for prostate cancer through his father.  His father died at 62 from prostate cancer.  He smoked 2 packs of cigarettes daily for 20 years.  He recently quit smoking a year ago when he began having shortness of breath.  Labs reveal a normal urinalysis and CBC, a PSA of 5.0. A DRE reveals an enlarged, nodular prostate.

By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

· The factors that affect fertility (STDs).

· Why inflammatory markers rise in STD/PID.

· Why prostatitis and infection happens. Also explain the causes of systemic reaction.

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