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Subfertility initial assessment — DRCOG MCQ

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HardSubfertilitySubfertility initial assessmentDRCOG

A 34-year-old woman and her 36-year-old male partner have had regular unprotected intercourse for 14 months without conception. Her cycles are regular and neither has children. What is the most appropriate investigation?

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Correct answer: A — Semen analysis and female ovulation/tubal assessment pathway

After 12 months of regular unprotected intercourse, both partners should be assessed, including semen analysis and female ovulation/tubal evaluation where appropriate. Treating the woman empirically before semen testing misses common male-factor causes. The pearl is that infertility assessment is couple-based from the start.

Reference: NICE Fertility problems guideline