skip to main content

Anovulatory subfertility — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

HardSubfertilityAnovulatory subfertilityDRCOG

A 30-year-old woman with oligomenorrhoea and PCOS has been trying to conceive for 18 months. BMI is 34 kg/m² and her partner's semen analysis is normal. She is not taking folic acid. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: A — Refer for ovulation induction advice and address weight and preconception health

PCOS with oligo-ovulation and subfertility warrants referral for ovulation induction advice while optimising weight, folic acid and metabolic health. Combined hormonal contraception may regulate bleeding but prevents conception. The pearl is that fertility care should combine treatment referral with preconception risk reduction.

Reference: NICE Fertility problems guideline; International PCOS guideline