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Infertility is a condition of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.



  • Not every fertility test will be done for every case.


WOMEN: For women, fertility testing may include basic gynaecologic examination

  • VDRL tests

  • Urine routine and microscopic

  • Cervical mucus examination

  • Abdominal pelvic USS-to look for polycystic ovaries, larger ovarian cysts, fibroids, and, sometimes, to confirm ovulation is taking place.

  • HSG (hysterosalpingogram) to check that the fallopian tubes are open and not blocked, as well as to evaluate the shape of the uterus.

  • Hysteroscopy- This is done if an HSG examination showed potential abnormalities or was inconclusive.

  • Diagnostic laparascopy- This test is only done when symptoms point to possible endometriosis, as part of treatment for blocked fallopian tubes, or in some cases of unexplained infertility.

  • Hormonal profile- FSH, LH,T3 & T4,Testosterone, prolactin, estradioland progesterone 


MEN: Perform the following

  • Semen analysis

  • VDRL tests

  • Hormonal profile-FSH,Testosterone, but sometimes also LH, estradiol, or prolactin 


Treatment will depend on the underlying cause


Non-pharmacological treatment

  • Weight reduction in obese clients.

  • Educate the couple on the importance of having sexual intercourse during the fertile window

  • Try to avoid smoking/excessive drinking 


Pharmacological treatment

Ovulation stimulation;

  • Clomiphene citrate 50mg (PO) once per day for seven days from the 2nd–5th day of menstruation.(maximum 6 cycles) 


Polycystic Ovarian Syndrome (PCOS)


  • Metformin 500mg 8 hourly (sometimes used during PCOS treatment, alone or along with fertility drugs) 




  • Bromocriptine 2.5–5mg once per day until the prolactin level is within the normal range 




  • Tubal surgery for Tubal blockage

  • Myomectomy for uterine fibroids

  • Ovarian drilling is a possible surgical infertility treatment for PCOS–related infertility 




Refer all patients with infertility to a gynecologist



Updated on, 3.11.2020


1. STG

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