The Infertile Couple

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...

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...

Evaluation of the Infertile Couple

Evaluation of the Infertile Couple in a Managed Care Environment

A primary care approach to the infertile couple.

BACKGROUND Approximately 20% of reproductive age couples have difficulty conceiving or maintaining an established pregnancy. The family physician is in a unique position to provide patient education, begin initial evaluation, make appropriate referrals, and offer ongoing counseling and support to couples who experience problems with fertility. METHODS And extensive clinical review was conduct...