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Initial subfertility assessment — DRCOG MCQ

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ModerateSubfertilityInitial subfertility assessmentDRCOG

A 33-year-old woman and her 35-year-old male partner have been trying to conceive for 14 months. She has regular 29-day cycles and no pelvic pain. Neither has children. They ask what initial tests are appropriate. What is the most appropriate investigation?

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Correct answer: B — Semen analysis, mid-luteal progesterone and rubella status

Initial fertility assessment includes semen analysis and evidence of ovulation, commonly mid-luteal progesterone in regular cycles, plus preconception checks such as rubella status. Laparoscopy is not first-line without symptoms suggesting tubal disease or endometriosis. Postcoital testing and basal temperature charts are not recommended routine investigations. The pearl is to investigate both partners early.

Reference: NICE NG257