Clinical Case Database / Category: Case Based Discussion
The initial investigation of infertility
Publication details
Joanna Clark BM BSc, Valentine Akande BM BSc
Foundation Years Journal, volume 1, issue 7, p.347 (123Doc Education, London, November 2007)
Abstract
A 34 year old woman has been trying to conceive for 1 year with no success. Neither herself nor her 32 year old male partner have been responsible for a pregnancy in the past.
Further questioning reveals that they have been having regular intercourse at 2-3 day intervals throughout the month. The woman has regular cycles, bleeding for 4 days of every 28, with no menorrhagia or pelvic pain.
Neither have ever knowingly had an STI and both are fit and well with no significant past medical or family history. The male partner has a BMI of 32, and the female 29. They do not have occupational exposure to any chemicals, radiation or driving long distances and neither takes medications. They consume less alcohol than the recommended maximum weekly limit on average, but the woman smokes 5 cigarettes a day.
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Authors
Joanna Clark BM BSc (Corresponding author)
Specialty Trainee Obstetrics and Gynaecology
Department of Women and Childs Health
Southmead Hospital
Southmead Road
Wesbury-on-Trym
Bristol
Avon
BS10 5NB
Valentine Akande BM BSc
Consultant Obstetrician and Gynaecologist
Department of Women and Childs Health
Southmead Hospital
Bristol
References
3. Balen, A.H., Rutherford, A.J. Management of Infertility. BMJ 2007; 335:608- 11.
5. Khalaf, Y. ABC of subfertility. Tubal subfertility. BMJ 2003; 327: 610-613
Disclaimers
Conflict Of Interest
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Financial Statement
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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