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Infertility

Sahil Mullick, MD and Ravneet Kaur, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

Definition: failure to conceive after 1 year of regular sexual intercourse without the use of contraception in women <35 years of age or, failure to conceive after 6 months of reg...

DIAGNOSIS

HISTORY

  • Complete reproductive history:

    • Age of female

    • Complete female reproductive history

      • Age at menarche, regularity of menstrual cycle, physical development (Tanner stages), previous methods o...

TREATMENT

GENERAL MEASURES

  • Lifestyle changes that may improve fertility:

    • Achieving an ideal BMI, cessation of smoking, limiting exposure to caffeine and alcohol, wait for at least 12 months before initi...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Specialist if not successful after 3 to 6 cycles of oral ovulation induction 

Patient Monitoring

Cycle monitoring may decrease risks. US can show the number of deve...

REFERENCES

1
ACOG Committee on Gynecologic Practice and Practice Committee. Female age-related fertility decline. Committee Opinion No. 589. Fertil Steril. 2014;101(3):633–634.
2
Murugappan G, Li S, Lath...

SEE ALSO

  • Amenorrhea; Endometriosis; Metabolic Syndrome; Polycystic Ovarian Syndrome (PCOS); Pelvic Inflammatory Disease

  • 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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