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Age-related subfertility referral — DRCOG MCQ

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HardSubfertilityAge-related subfertility referralDRCOG

A 38-year-old woman has been trying to conceive for 7 months with regular intercourse. She has regular cycles and no pelvic pain. Her partner has no children. She asks whether to wait for a year before help. When should this patient be referred?

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

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Correct answer: DRefer now because she is aged 36 or over

Women aged 36 or over should be considered for earlier referral for fertility assessment because fertility declines with age and treatment delay matters. Waiting a further year is not appropriate. The pearl is that age changes the threshold for referral even when cycles are regular.

Reference: NICE Fertility problems guideline