Indications and timing of the infertility evaluation

Infertility evaluation is indicated for couples who seek help because they have not been able to conceive.

1. Initiate evaluation after 12 months of unprotected and frequent intercourse:

Women under age 35 years without risk factors for infertility

2. Initiate evaluation after six months of unprotected and frequent intercourse:

Women age 35 to 40 years

3. Initiate evaluation upon presentation despite less than six months of unprotected and frequent intercourse:

Women over age 40 years

Women with oligomenorrhea/amenorrhea

Women with a history of chemotherapy, radiation therapy, or advanced stage endometriosis

Women with known or suspected uterine/tubal disease

Women whose male partner has a history of groin or testicular surgery, adult mumps, impotence or other sexual dysfunction, chemotherapy and/or radiation, or a history of subfertility with another partner

Graphic 70415 Version 5.0

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Indications and timing of the infertility evaluation