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Evaluation of the Infertile Couple

What is the expected per cycle fecundability rate?

a. 0.5 percent

b. 5 percent

c. 25 percent

d. 85 percent

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

a. 15 percent

b. 30 percent

c. 60 percent

d. 85 percent

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)?

a. 26

b. 32

c. 38

d. 44

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?

a. Woman older than 35 years

b. History of chronic anovulatory cycles

c. Prior severe pelvic inflammatory disease (PID)

d. All of the above

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?

a. 1 percent

b. 10 percent

c. 33 percent

d. 66 percent

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


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