Infertility evaluation and management. Strategies for family physicians.
OBJECTIVE
To review family physicians' role in investigation and management of infertile couples.


METHODS
MEDLINE and PubMed were searched using the MeSH headings infertility, advanced maternal age, polycystic ovarian syndrome, clomiphene citrate, and insulin sensitizers. Bibliographies of review articles and textbooks were also searched. Review articles, randomized trials, observational studies, and case series are cited.


RESULTS
Approximately 8% of Canadian couples have difficulty conceiving. Mother's age significantly affects ability to conceive. Infertility assessment focuses on ovulatory dysfunction, tubal factors, sexual factors, and male factors. Women older than 35 years more than 12 months infertile; women younger than 35 more than 18 months infertile; women likely to have such problems as anovulation, tubal disease, or endometriosis; women whose partners' semen tests abnormal; and women who request referral should be referred. Patients treated with clomiphene citrate should be aware of its potential side effects.


CONCLUSIONS
Family physicians have an important role in preconception counseling. Detailed and focused assessment facilitates initial investigations and treatment and can identify couples who could benefit from referral for further assessment.
Case
Allison M
AM
Department of Obstetrics, Gynecology and Reproductive Sciences, Royal University Hospital, University of Saskatchewan, Saskatoon. Allison.Case@usask.ca
D000328:Adult; D000367:Age Factors; D002170:Canada; D002996:Clomiphene / Q000009:adverse effects / Q000627:therapeutic use; D003376:Counseling; D005260:Female; D005300:Fertility Agents, Female / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D015994:Incidence; D007246:Infertility / Q000175:diagnosis* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010819:Physician's Role; D010821:Physicians, Family
D005300:Fertility Agents, Female; D002996:Clomiphene