Infertility Workup

Asavari and Rachel review three patient cases and the infertility workup for each case with Dr. Moravek. 00:38: Dr. Moravek Bio 01:43: Infertility Introduction and Definitions 03:24 Case 1: 29yo G0 woman with irregular periods, acne, and weight gain 11:26 Case 2: 32yo G0 woman with a history of a sexually transmitted infection 18:22 Case 3: 38yo G2P2 woman with difficulty becoming pregnant Transcript: https://bit.ly/ultrasounds_infertility References: ACOG committee opinion, number 781: Infertility workup for the women’s health specialist AAFP Diagnosis and Treatment of Polycystic Ovarian Syndrome AAFP Polycystic Ovarian Syndrome Common Questions and Answers AAFP Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention ASRM Ovarian Reserve (predicting fertility potential in women) Michigan Medicine OB/GYN Infections Guidelines The Normal Menstrual Cycle and the Control of Ovulation Khan Academy Ovarian Cycle Video Additional Resources for LGBTQ+ Health and Infertility: ACOG committee opinion no. 749: Marriage and Family building Equality for Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual, and Gender Nonconforming Individuals ASRM Access to Fertility Services by Transgender and Nonbinary persons: an Ethics Committee Opinion Since this podcast was recorded, ASRM has expanded the definition of infertility to be more inclusive. Infertility includes any of the following factors: 1) the inability to achieve a successful pregnancy based on a patient’s medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any combination of those factors OR 2) the need for medical intervention, including, but not limited to, the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as an individual or with a partner, OR 3) in patients having regular, unprotected intercourse and without any known etiology for either partner suggestive of impaired reproductive ability, evaluation should be initiated at 12 months when the female partner is under 35 years of age and at 6 months when the female partner is 35 years of age or older.