ODOBGYNDECODED

← All presentations

Infertility evaluation

Bleeding in pregnancyAbdominal pain in pregnancyReduced fetal movementsHeadache + high BP in pregnancy/postpartumFever in pregnancy/postpartumDyspnoea in pregnancyVaginal discharge / cervicitisAcute pelvic pain (non-pregnant)Postmenopausal bleedingInfertility evaluation
Immediate red flags:
  • Known tubal disease + pain (hydrosalpinx/ectopic risk)
  • Postmenopausal-range FSH <40 y (POI)
Urgent workup:
  • Semen analysis x2 early
  • Cycle documentation
  • AMH/AFC context
  • HSG/hyCoSy patency

Structured differential — act in priority order

PriorityConditionKey featuresAction
COMMON
Anovulation (PCOS etc.)
Irregular cycles
Letrozole-first ladder →
COMMON
Male factor
Abnormal semen parameters
Andrology/ART referral
COMMON
Tubal factor
HSG blockage/PID history
IVF vs surgical decisions
CONSIDER
Endometriosis-associated
Pain profile
Surgery then ART timing →
CONSIDER
Diminished ovarian reserve
Low AMH/AFC
Counsel + tailored stimulation →

First moves

  1. Couple-based workup always - never female-only