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Subfertility after cancer treatment — DRCOG MCQ

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EasySubfertilitySubfertility after cancer treatmentDRCOG

A 37-year-old woman has prior pelvic radiotherapy and is trying to conceive. When should this patient be referred?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Refer early for specialist fertility advice

Refer early for specialist fertility advice is the best answer because the vignette is testing Subfertility after cancer treatment and the recommended approach is consistent with NICE CG156. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Request hysteroscopy as the first test; Refer within two weeks on a suspected cancer pathway; Refer to emergency gynaecology care; Advise trying to conceive for another two years would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: NICE CG156