Infertility

Infertility

3 months - 50%

6 months - 66-75%

12 months - 85-99%


Both:

Quit Smoking

Quit Drinking 

Normal weight (not too high or low)

Ask when they have sex!


Male:

Semen analysis. If abnormal, repeat 30 days later


Female:

FSH day 3 <10-15 nl

Estradiol day 3 <80 normal

Serum progesterone midlueal phase (7 days before the onset of their normal). If no normal cycle: progesterone challenge. Give progesterone for a week, then within week of stopping they should have period. 

BBT

US - for fibroid, anatomy, etc...


These not really necessary of regular menses:

TSH

Prolactin

Testosterone

DHEAS

17-OH progesterone

Cortisol


OB:

Hsg



Clomid:

Given day 5-9

Monitor for hyper stimulation

5% twins. Cyst formation