Infertility Flashcards

1
Q

A 34-year-old woman presents to the GP. She has been trying for a baby for 18 months and is seeking fertility advice. Her last menstrual period was 3 weeks ago, and she has a regular 30-day cycle. She and her partner have been having sexual intercourse three times per week. Neither she nor her partner smoke. She has no previous children. Abdominal and pelvic examinations are normal. Her body mass index (BMI) is 24 kg/m2.

Which of the following is the most appropriate course of action?

A

Mid-luteal-phase progesterone and semen analysis

  • This would be the first point of investigation in primary care where the couple is trying to conceive for more than a year!
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