infertility in the exam
It is important to have a systematic way of approaching a case with subfertility in the exam.
Ultrasound is the initial examination of choice. Always say that you would further assess the uterus with 3D ultrasound. You may also say that in my department we would perform a sonohysterogram or HSG, depending on your local practice. Only suggest further imaging with MRI if prompted.
Pelvic causes of female subfertility include:
- submucosal leiomyoma
- Asherman syndrome
- polycystic ovarian syndrome (PCOS)
- congenital uterine anomaly