Gynecology: infertility — evaluation and management basics
Obstetrics and Gynecology · MBBS
Study notes
A couple — 2 years trying; semen normal; PCOS found; letrozole — ovulation, pregnancy. Infertility (1 year unprotected <35y; 6 months >35y: male — 40% — semen analysis first — count, motility, morphology; female — ovulation — PCOS, thyroid; tubal — PID — HSG — blocked; uterine — fibroids; unexplained): treat — male — varicocele repair, ICSI — severe; ovulatory — letrozole/clomiphene; tubal — IVF; unexplained — IUI → IVF; counseling — age — >35 decline). The semen analysis is first — male factor is 40%.
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