Diagnostic evaluation of the infertile female: a committee opinion

Capsule:
This committee opinion assesses current methods and procedures for evaluation of the infertile female.

Author:
The Practice Committee of the American Society for Reproductive Medicine

Volume 98, Issue 2, Pages 302-307, August 2012

Abstract:
Diagnostic evaluation for infertility in women should be conducted in a systematic, expeditious, and cost-effective manner to identify all relevant factors with initial emphasis on the least invasive methods for detection of the most common causes of infertility. The purpose of this Committee Opinion is to provide a critical review of the current methods and procedures for the evaluation of the infertile female, and it replaces the 2006 ASRM Practice Committee document titled “Optimal evaluation of the infertile female.”

  • Jodie Asher

    It is recommended that family history be collected regarding birth defects, MR, hx of early menopause, etc but no direction is given around what to do with that information. Shouldn’t there be some discussion about potential genetic etiologies for female factor infertility and available testing, like Fragile premutation testing and chromosome analysis?

  • Joe Massey

    believe laparoscopy is being relegated to the trash heap prematurely

  • I agree that this is an excellent overview. An interesting point to add to the assessment of tubal patency is that adjuncts to SIS such as sono-hysterosalpingography (sono-HSG) are not yet shown to be comparable to HSG, but can actually show unilateral vs. bilateral tubal patency. While it is not yet mainstream, the introduction of newer devices that instill microbubbles into the fallopian tubes during SIS may enable physicians to assess both the uterine cavity and tubal patency in one office visit – as well as make the process more patient-friendly.

  • Paul Brezina

    This guidance is extremely helpful both for the REI and OBGYN generalist communities

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