Kevin Klaus Karen Klaus is 38 years old and Kevin Klaus is 38 years old. They have only been trying to conceive for the past 6 months, but because of Karen's age they are seeking fertility assistance now. Kevin Klaus has two children from a previous marriage. Karen has had one ectopic pregnancy that required surgical removal 2 years ago. During surgery the presence of endometrial tissue on the ovaries and outer surface of the uterus was noted. She has recently begun to experience some pelvic pain and heavy menstruation. Kevin recently saw a physician for erectile dysfunction and the physician noted the presence of varicoceles on his testicles during his last physical examination.
a. List any issues in the case background that could impact the couple's fertility. Research these issues and explain if/how/why they impact fertility.
b. List any abnormal test results. Research these abnormal results to determine how/why they impact fertility.
c. After researching the background and abnormal test results, what could be causing infertility for this couple? What is your treatment plan for this couple (you may need to research treatment options)?