Jenny Johnson is 26 years old and Jason Johnson is 29 years old. The couple has been trying to conceive for a year with no success. Jenny and Jason already have one healthy child that is now 4 years old. Jason was recently diagnosed with Celiac disease. Jason Hormone Levels
Total Volume
1.3 ml
Progesterone
15.5 ng/ml
0.8 ng/ml
Sperm Concentration
5.2 million/ml
Luteinizing hormone
19.0 IU/L
1.1 IU/L
Motility
29%
Prolactin
5.1 ng/ml
11.0 ng/ml
Forward Progression (0-4)
1
Testosterone
42.2 ng/dl
2800 ng/dl
Normal Morphology
12%
Estradiol
247.8 pg/ml
31.9 pg/ml
Total Sperm Count
10.7 million
Follicle stimulating hormone
13.9 mIU/ml
12.0 mIU/ml
Total Motile Sperm
1.3 million
Total Functional Sperm
700,000

Required:
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?