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Evaluation of the Infertile Couple

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What is the expected per cycle fecundability rate?

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a. 0.5 percent

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b. 5 percent

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c. 25 percent

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d. 85 percent

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Regarding couples attempting pregnancy, what percentage of women are expected to have conceived at 1 year?

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a. 15 percent

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b. 30 percent

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c. 60 percent

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d. 85 percent

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A 27-year-old married nulligravid resident physician has been married for 3 years. She is worried about delaying childbearing for another few years while she pursues fellowship training. She can be reassured that a significant decline in the fecundability rate does not begin until what age (years)?

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a. 26

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b. 32

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c. 38

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d. 44

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In general, infertility evaluation is initiated after a couple fails to conceive after 1 year of unprotected intercourse of reasonable frequency. When should earlier evaluation be considered?

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a. Woman older than 35 years

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b. History of chronic anovulatory cycles

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c. Prior severe pelvic inflammatory disease (PID)

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d. All of the above

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An infertile couple presents for evaluation. Neither partner has ever conceived a pregnancy. Both believe that the female partner alone is the source of their failure to achieve a pregnancy. It should be explained that infertility can be attributed to the male partner in approximately one third of cases and to both partners in approximately what percentage of cases?

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a. 1 percent

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b. 10 percent

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c. 33 percent

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d. 66 percent

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Of infertility causes, which of the following is most likely encountered?

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