Infertility initial investigations

Question 1

affects how many couples

Answer 1

1 in 7 couples

Question 2

couples who have regular intercourse have what percentage of success

Answer 2

84% with in a year

92% with in 2 years

Question 3

causes

Answer 3

male factor 30%
unexplained 20%
ovulation failure 20%
tubal damage 15%
other causes 15%

Question 4

Ix

Answer 4

1. semen analysis
2. serum progesterone - 7 days prior next period

Question 5

key counselling points

Answer 5

folic acid
aim for BMI 20-25
advise regular sexual intercourse every 2 to 3 days
smoking/drinking advice

Question 6

what indicates a low reading of serum progestogen

Answer 6

< 16nmol/l