Fertility Work Up – Female

Female Fertility Work up

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


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


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)

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