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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

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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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