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Infertility

Sahil Mullick, MD and Angela T. Cheriyan, MD Reviewed 06/2020
 


BASICS

DESCRIPTION

Definition: failure to conceive after 1 year of regular sexual intercourses without contraceptives in women <35 years of age. Or, failure to conceive after 6 months of regular int...

DIAGNOSIS

HISTORY

  • Complete reproductive history:

    • Age of female

    • Complete female reproductive history

      • Age at menarche, regularity of menstrual cycle, physical development, previous methods of contraception,...

TREATMENT

GENERAL MEASURES

  • Couples may wish to begin with simpler methods for determining ovulation and timing intercourse, depending on duration of infertility and resources available. Basal body temp...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Referred to infertility specialist if not successful after 3 to 6 cycles of oral ovulation induction. 

Patient Monitoring

Cycle monitoring may decrease risks. US ca...

REFERENCES

1
Grigorescu V, Zhang Y, Kissin DM, et al. Maternal characteristics and pregnancy outcomes after assisted reproductive technology by infertility diagnosis: ovulatory dysfunction versus tubal...

ADDITIONAL READING

SEE ALSO

  • Amenorrhea; Endometriosis; Metabolic Syndrome; Polycystic Ovarian Syndrome (PCOS)

  • Algorithm: Infertility

CODES

ICD10

  • N97.9 Female infertility, unspecified

  • N46.9 Male infertility, unspecified

  • N97.1 Female infertility of tubal origin

  • N46.8 Other male infertility

  • N46.023 Azoospermia due to obstruction of efferen...

CLINICAL PEARLS

  • Women <35 years of age should be evaluated for infertility after failing to conceive after 1 year of unprotected intercourse, those ≥35 years should receive evaluation after 6 month...

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