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Tubal factor infertility — DRCOG MCQ

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HardSubfertilityTubal factor infertilityDRCOG

A 33-year-old with 18 months of infertility has regular ovulatory cycles, normal semen analysis and no history of PID, ectopic pregnancy or endometriosis. Which tubal test is offered first?

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

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Correct answer: B — Hysterosalpingography to screen for tubal occlusion

The best answer is “Hysterosalpingography to screen for tubal occlusion”. When there is no pelvic comorbidity, NICE recommends HSG to screen for tubal occlusion because it is reliable, less invasive and uses resources more efficiently than laparoscopy. Laparoscopy with dye is reserved for women with suspected pelvic comorbidity.

Reference: NICE CG156: Fertility problems assessment and treatment: https://www.nice.org.uk/guidance/cg156/chapter/recommendations