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 infertility?

Difficulties with coitus

Oops! This section is restricted to members. Click here to signup!

Male causes

Oops! This section is restricted to members. Click here to signup!

Female causes

Oops! This section is restricted to members. Click here to signup!

Try a station

1. Subfertility history
2. There’s loads more similar stations here!