A 34-year-old woman and 35-year-old male partner have had unprotected intercourse for 13 months without pregnancy. Menstrual cycles are regular. She

Question

A 34-year-old woman and 35-year-old male partner have had unprotected intercourse for 13 months without pregnancy. Menstrual cycles are regular. She has no pelvic pain and neither partner has children. Which of the following is the most appropriate next step in management?

Accepted Answer

Begin infertility evaluation of both partners

Answer

Evaluate the woman and ignore semen testing

Answer

Reassure and wait 2 more years

Answer

Perform hysterectomy

Answer

Start chemotherapy to induce ovulation

Infertility evaluation — USMLE Step 3 MCQ

A 34-year-old woman and 35-year-old male partner have had unprotected intercourse for 13 months without pregnancy. Menstrual cycles are regular. She has no pelvic pain and neither partner has children. Which of the following is the most appropriate next step in management?