Fertility Work Up – Female

A detailed History and Examination is crucial for correct diagnosis. Right treatment can only be initiated once diagnosis is correct.

History

Basic Demography

• Name
• Age
• Address

Sexual History

• Consummation of marriage
• Frequency
• Knowledge of fertile period
• Trying for how long

Menstrual History

• Last Period date
• Cycles
  1. Regular/ Irregular
  2. Cycle length – Normal/Early/delayed
  3. Flow – Normal/less/Heavy with clots
  4. Dysmenorrhea

Gynecological History

• Known case of PCOS, Fibroid, Endometriosis etc.

Personal History

• Affects egg reserve
  1. Smoking
  2. Alcohol
  3. Drug abuse
• Working/ Home maker

Past Medical History

• Thyroid, Hypertension, Diabetes, Bronchial asthma, Epilepsy, Heart dis, Psychosis
• Pelvic Inflammation

Past Surgical History

• Endoscopic Surgery
• Laparotomies – May cause adhesions

Previous infertility treatment IUI / IVF

• No. of cycles
• Medications (Oral/ injections)
• Check for follicle ruptured
• Embryology Details
• Ease of Transfer

Family History

• Infertility – Genetic predisposition
• Endometriosis
• Carcinoma – Hereditary inheritance
• Low egg reserve

Early menopause (Mother/Sister) – POF

Examination

Body Mass Index – To check for risk and ease of procedure and dose of injections

Blood Pressure

General Physical Examination – Medical Fitness

Per Abdomen Examination – Fibroid/Scar

Per Vaginum Examination – Size of uterus and ovaries (Fibroid/Cyst/Endometriosis)