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Semen analysis — DRCOG MCQ

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EasySubfertilitySemen analysisDRCOG

A couple has tried to conceive for 14 months. The woman has regular 29-day cycles and no pelvic pain. The male partner has no children and no known medical problems. What is the most appropriate investigation?

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Correct answer: D — Arrange semen analysis as part of initial assessment

Male factor contributes to a substantial proportion of infertility, so semen analysis is a core initial investigation. Regular female cycles do not exclude male factor. PSA is not a fertility screening test. Empirical testosterone can suppress spermatogenesis and should not be started for infertility without specialist input.

Reference: NICE CG156