Initial subfertility tests — DRCOG MCQ

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EasySubfertilityInitial subfertility testsDRCOG

A 28-year-old woman has been trying to conceive for 13 months with regular cycles and no known risk factors. What is the most appropriate investigation?

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Correct answer: E — Semen analysis and confirmation of ovulation

Semen analysis and confirmation of ovulation is the best answer because the vignette is testing Initial subfertility tests 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, Transvaginal ultrasound scan; Start clomifene in primary care; Serum prolactin; Liver function tests and bile acids would be suboptimal in this scenario. The first investigation should answer the immediate clinical question and follow the relevant UK pathway.

Reference: NICE CG156