A 65-year-old man presents to primary care center with a 5-day history of urinary dribbling, low back pain, peroneal pain, myalgias, and fevers with chills. He reports one episode of urinary incontinence this week. He denies any hematuria. Urinalysis with positive nitrites and trace bacteria. Patient has a history of a recent UTI. He also reports that his prostate has been enlarged and he had a recent transurethral surgery. Vital signs T 103.0 F, pulse 120, respirations 26.

Pelvic Inflammatory Diseases Case Analysis Student’s Name Professor’s Name Institutional Affiliations Course Name and Number Due Date Pelvic Inflammatory Diseases Case Analysis The factors that affect fertility (STDs) The case study highlights a 65-year-old man with sexual organs-related complications due to his recent transurethral surgery and possible prostatitis diagnosis presented by urinary incontinence, trace bacteria, positive nitrites, and other presentations. The exploration of this case provides insights into the impact of sexually transmitted diseases (STDs) on the rise of fertility challenges. According to Goulart et al. (2020), STDs contribute to approximately 15% of infertility issues in men by interfering with the physiological and hormonal regulation processes. STDs rise from the sexual transmission of varied bacteria, viruses, and fungi. Goulart et al. (2020) indicate that the leading STDs with significant impact on fertility comprise human papillomavirus (HPV), HIV, and Chlamydia trachomatis. For instance, the authors suggest that HIV and its related treatment lead to reduced ejaculate, raised viscosity, and minimal sperm mobility (Goulart et al., 2020). Interferences lead to abnormal spermatozoa and undeveloped cells. HPV also diminishes the semen’s quality by binding itself to the spermatozoa’s head, limiting their fertility. Chlamydia trachomatis contributes to infertility through the complications of pelvic inflammation-related illnesses such as prostatitis. Such conditions disrupt a man’s canalicular system, leading to post-testicular azoospermia and atrophy of the testes (Goulart et al., 2020). These interferences affect the function and quality of the sperm, triggering male infertility. Why inflammatory markers rise in STD/PID STD/PID represents diseases arising from bacterial, viral, and other causative agents. Goulart et al. (2020) agree with this observation and underscore the disruptive nature of such ...