Tubal patency testing — DRCOG MCQ

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HardSubfertilityTubal patency testingDRCOG

A 31-year-old woman has subfertility and previous chlamydia infection but regular ovulatory cycles. What is the most appropriate investigation?

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Correct answer: B — Specialist tubal patency assessment

Specialist tubal patency assessment is the best answer because the vignette is testing Tubal patency testing and the recommended approach is consistent with NICE CG156. The other tests may be useful in different pathways, but they would not be the most direct first investigation for this presentation. Specifically, Thyroid function tests; Cardiotocography; Liver function tests and bile acids; Speculum examination would be suboptimal in this scenario. The first investigation should answer the immediate clinical question and follow the relevant UK pathway.

Reference: NICE CG156