NR-451-RN Capstone Course – Forming PICO Question

This paper will work out in trying to demystify the idea that emergency contraceptive pills do actually causes infertility in women. The question that will be asked in this case is whether the use of contraceptive pills actually causes infertility amongst women. There are a number of scenarios that may force a woman to adopt the use of a contraceptive pill as a way of avoiding pregnancy. One of those factors is the breakage of a condom during sex. In such a case, the male sperms may flow through the woman’s vagina and eventually find their way through to the fallopian tube. Research shows that the sperms can stay in the fallopian for a period of up to five days when they wait to meet the woman’s egg for the fertilization process to take place. In such a case, a woman may resolve to take a dose of the contraceptive emergency pill so as to delay the ovulation process. Apart from that, a woman may be forced to use the pills in the scenario that she forgets to take her normal birth control pills before having sex with her partner. The questions then begs, is it harmful for women to use such methods since it is believed that they can easily lose their fertility.

For the purposes of trying to demystify the concept, this project will work with a number of women participants chosen from different age sets. The first set will be composed of young girls who are aged between twelve to seventeen years. The second set will be composed of ladies aged between eighteen to twenty five years. Finally there will be a final set that will be composed of women aged between twenty six to thirty three years. The final age set is primarily composed of women who are mostly believed to have given birth to at least one child. It is therefore appropriate to use them as the control experiment.

The intervention process will involve the use of contraceptive pills by the older women who have already given birth to at least one child. The test will be used to know whether the use of the pill does actually stop them from giving birth anymore. On the other hand, those aged between twelve to seventeen years will not be subjected to the use of the contraceptive pills. The reason as to why the group will not be exposed to the pills is because at such tender age, they may not be involved in sexual activities.  Finally, the middle quartile group will also be subjected to the use of the pills in order to establish whether it affects their fertility or not.

The control experiment is expected to be carried out for a period of close to seven years, after which concrete evidence and conclusion can be made from the experiment. At tha end of the study, it will be expected that either those who were subjected to the use of the drug will become infertile or remain the same. It will be assumed that the two groups all use the pills at an almost the same rate during the course of the experiment period. The effect is therefore expected to be the same for all the participants. For the young girls aged between twelve and seventeen years, there will be no changes expected in their fertility since they will not use the drugs.


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