• Vol. 32 No. 5, 611–614
  • 15 September 2003

Investigating the Infertile Couple

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ABSTRACT

Introduction: Investigations play a pivotal role in the workup for infertility. The results must be interpreted carefully as these assess dynamic function. Evidence-based guidelines are useful in the selection of appropriate tests.

Materials and Methods: A review of current evidence-based guidelines for the investigation and management of the infertile couple is undertaken.

Results: The main areas that correlate with fecundability are ovulatory function, tubal patency and semen analysis.

Conclusion: The appropriate selection of investigations based on problem areas identified by history and physical examination would guide the physician in the management of the infertile couple.


Infertility is defined as the inability to conceive after 1 to 2 years of unprotected intercourse. In general, an estimated 84% of all women would conceive after a year of intercourse.

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