Evaluation of infertile women: Mini-review

Evaluation of infertility indicated for women failed to conceive after one year of unprotected intercourse and for women over 35 years failed to conceive after 6 mo of unprotected intercourse, because the fertility decline as women approach 40 years. Evaluation of infertile couple should begin with...

Full description

Bibliographic Details
Main Authors: Mohannad Abu Faza, Ibrahim A Abdelazim, Hossam S Osman
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Asian Pacific Journal of Reproduction
Subjects:
Online Access:http://www.apjr.net/article.asp?issn=2305-0500;year=2017;volume=6;issue=1;spage=1;epage=5;aulast=Faza;type=0
_version_ 1818411598373453824
author Mohannad Abu Faza
Ibrahim A Abdelazim
Hossam S Osman
author_facet Mohannad Abu Faza
Ibrahim A Abdelazim
Hossam S Osman
author_sort Mohannad Abu Faza
collection DOAJ
description Evaluation of infertility indicated for women failed to conceive after one year of unprotected intercourse and for women over 35 years failed to conceive after 6 mo of unprotected intercourse, because the fertility decline as women approach 40 years. Evaluation of infertile couple should begin with semen analysis of male partner. If the semen analysis is within normal range, evaluation then move on to female partner. Evaluation of the infertile woman should be carried in cost-effective manner to identify the causes of infertility using the least invasive methods. Methods of evaluation of infertile women include: 1) history and physical examination; 2) evaluation of the male partner; 3) documentation of ovulation; 4) evaluation of the ovarian reserve; 5) evaluation of cervical causes of infertility; 6) evaluation of uterine causes of infertility; 7) documentation of the tubal patency; and 8) exclusion of peritoneal causes of infertility. Evaluation of infertile couple should include evaluation of both partners. Semen analysis for the male partner, followed by documentation of ovulation and evaluation of genital tract patency. PCT is not used as routine evaluation of infertile women. Laparoscopy is not used as routine evaluation of infertile women unless there is suspected peritoneal factors of infertility or endometriosis or tubal occlusion. Ovarian reserve should only be done for infertile women with diminished response to external gonadotropins (not routine).
first_indexed 2024-12-14T10:33:58Z
format Article
id doaj.art-d48ee6229e274de7a307f75cc0fae7f9
institution Directory Open Access Journal
issn 2305-0500
2305-0519
language English
last_indexed 2024-12-14T10:33:58Z
publishDate 2017-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Asian Pacific Journal of Reproduction
spelling doaj.art-d48ee6229e274de7a307f75cc0fae7f92022-12-21T23:06:01ZengWolters Kluwer Medknow PublicationsAsian Pacific Journal of Reproduction2305-05002305-05192017-01-01611510.12980/apjr.6.20170101Evaluation of infertile women: Mini-reviewMohannad Abu Faza0Ibrahim A Abdelazim1Hossam S Osman2Department of Obstetrics and Gynecology, Ahmadi Hospital, KuwaitDepartment of Obstetrics and Gynecology, Ahmadi Hospital, Kuwait;Department of Obstetrics and Gynecology, Ain Shams University, EgyptDepartment of Obstetrics and Gynecology, Ahmadi Hospital, KuwaitEvaluation of infertility indicated for women failed to conceive after one year of unprotected intercourse and for women over 35 years failed to conceive after 6 mo of unprotected intercourse, because the fertility decline as women approach 40 years. Evaluation of infertile couple should begin with semen analysis of male partner. If the semen analysis is within normal range, evaluation then move on to female partner. Evaluation of the infertile woman should be carried in cost-effective manner to identify the causes of infertility using the least invasive methods. Methods of evaluation of infertile women include: 1) history and physical examination; 2) evaluation of the male partner; 3) documentation of ovulation; 4) evaluation of the ovarian reserve; 5) evaluation of cervical causes of infertility; 6) evaluation of uterine causes of infertility; 7) documentation of the tubal patency; and 8) exclusion of peritoneal causes of infertility. Evaluation of infertile couple should include evaluation of both partners. Semen analysis for the male partner, followed by documentation of ovulation and evaluation of genital tract patency. PCT is not used as routine evaluation of infertile women. Laparoscopy is not used as routine evaluation of infertile women unless there is suspected peritoneal factors of infertility or endometriosis or tubal occlusion. Ovarian reserve should only be done for infertile women with diminished response to external gonadotropins (not routine).http://www.apjr.net/article.asp?issn=2305-0500;year=2017;volume=6;issue=1;spage=1;epage=5;aulast=Faza;type=0InfertileWomenMini-review
spellingShingle Mohannad Abu Faza
Ibrahim A Abdelazim
Hossam S Osman
Evaluation of infertile women: Mini-review
Asian Pacific Journal of Reproduction
Infertile
Women
Mini-review
title Evaluation of infertile women: Mini-review
title_full Evaluation of infertile women: Mini-review
title_fullStr Evaluation of infertile women: Mini-review
title_full_unstemmed Evaluation of infertile women: Mini-review
title_short Evaluation of infertile women: Mini-review
title_sort evaluation of infertile women mini review
topic Infertile
Women
Mini-review
url http://www.apjr.net/article.asp?issn=2305-0500;year=2017;volume=6;issue=1;spage=1;epage=5;aulast=Faza;type=0
work_keys_str_mv AT mohannadabufaza evaluationofinfertilewomenminireview
AT ibrahimaabdelazim evaluationofinfertilewomenminireview
AT hossamsosman evaluationofinfertilewomenminireview