The progressive simplification of the infertility evaluation.

Abstract:

OBJECTIVE:With the advent of evidence-based medicine, much of the complex testing that infertile couples used to undergo is no longer recommended as part of the routine evaluation. Examples of tests no longer implemented include the postcoital test, Rubin test of tubal patency, endometrial biopsy, sperm antibody testing, and the zona-free hamster test. The role of routine diagnostic laparoscopy and hysteroscopy is also reviewed. CONCLUSIONS:In 2010, the simplicity of the current evaluation of couples presenting with infertility is essential information for patients to know at the initial visit. Ideally, it can help alleviate anxiety and provide patients with a road-map during a visit that is often associated with stress and high emotions. TARGET AUDIENCE:Obstetricians & Gynecologists, Family Physicians. LEARNING OBJECTIVES:After completion of this educational activity, the obstetrician/gynecologist should be better able to assess the current recommendations for evaluating infertile couples; examine the various ways to assess ovarian reserve, the uterine cavity, and fallopian patency; and appraise the controversy surrounding diagnostic surgery.

journal_name

Obstet Gynecol Surv

authors

Pavone ME,Hirshfeld-Cytron JE,Kazer RR

doi

10.1097/OGX.0b013e31821288a4

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

31-41

issue

1

eissn

0029-7828

issn

1533-9866

pii

0006254-201101000-00021

journal_volume

66

pub_type

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