Investigating the infertile couple.
BACKGROUND
Investigations play a pivotal role in the workup for infertility. The results must be interpreted carefully as these assess dynamic function. Evidence-based guidelines are useful in the selection of appropriate tests.


METHODS
A review of current evidence-based guidelines for the investigation and management of the infertile couple is undertaken.


RESULTS
The main areas that correlate with fecundability are ovulatory function, tubal patency and semen analysis.


CONCLUSIONS
The appropriate selection of investigations based on problem areas identified by history and physical examination would guide the physician in the management of the infertile couple.
Yu
S L
SL
Department of Obstetrics and Gynaecology, Singapore General Hospital, Outram Road, Singapore 169608. gogysl@sgh.com.sg
Yap
C
C
D000328:Adult; D019937:Diagnostic Techniques and Procedures; D005186:Fallopian Tube Patency Tests; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods; D007247:Infertility, Female / Q000175:diagnosis* / Q000209:etiology; D007248:Infertility, Male / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010061:Ovulation Detection; D012661:Semen / Q000166:cytology; D012680:Sensitivity and Specificity; D012846:Singapore; D013076:Sperm Count; D013081:Sperm Motility