Subfertility history

Introduction

• Wash hands
• Introduce self
• Ask Patient’s name, DOB and what they like to be called
• Explain and obtain consent

General

• How long been trying
• Any previous investigations
• Any medical treatments
• Previous in vitro fertilisation attempts

Coitus

• Coitus frequency
• Difficulties
• Relation to fertile days
• Pain

The partners

Consider each separately:

• Age
• Occupation
• Body mass index
• Previous children (same or different partner?)
• Smoking and alcohol use
• Current medications
• PMHx

Woman’s gynaecological health

• Current symptoms/problems
  • Gynaecological system review: discharge, pain, abnormal PV bleeding
  • PCOS symptoms: hirsutism, greasy skin, obesity
  • Prolactinoma symptoms: galactorrhoea
• Gynaecological history (MOSC)
  • Menstrual history
  • Obstetric history
  • Sexual history
  • Cervical smears and contraception history
  • PMHx (especially abdominal/pelvic operations, past STIs/PID, previous subfertility Ix/Tx), DHx, FHx, SHx

What are the causes for infertility?

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1. Subfertility history
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