Management of the infertile couple: an evidence-based protocol

Management of the infertile couple: an evidence-based protocol

BACKGROUND Infertility is defined as inability of a couple to conceive naturally after one year of regular unprotected sexual intercourse. It remains a major clinical and social problem, affecting perhaps one couple in six. Evaluation usually starts after 12 months; however it may be indicated earlier. The most common causes of infertility are: male factor such as sperm abnormalities, female fa...

Management of the infertile couple.

BACKGROUND With the further development of reproductive technology over the past 2 decades, options for subfertile couples have greatly increased. OBJECTIVE This article discusses the assessment of common male and female causes of infertility and describes a logical routine for the investigation and treatment of the subfertile couple using a flow chart approach. DISCUSSION We suggest an app...

Investigating the infertile couple.

INTRODUCTION Investigations play a pivotal role in the workup for infertility. The results must be interpreted carefully as these assess dynamic function. Evidence-based guidelines are useful in the selection of appropriate tests. MATERIALS AND METHODS A review of current evidence-based guidelines for the investigation and management of the infertile couple is undertaken. RESULTS The main a...

Evaluation of the Infertile Couple

The missing piece in management of infertile couple—clinical andrology

American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA; Division of Urology, Department of Surgery, Kwong Wah Hospital, Hong Kong, China; Department of Urology, Hamad Medical Corporation, Doha, Qatar; ANDROFERT, Andrology and Human Reproduction Clinic, Referral Center for Male Reproduction, Campinas, SP, Brazil Correspondence to: Ashok Agarwal. Professor and Director, A...