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Female Evaluation

Eliciting the History

Following are facts for past evaluation

  • Menstrual history
  • Period of infertility and outcomes of preceding assessments and treatment
  • Previous and present medical disorders, previous abdominal or pelvic surgery, gynaec and obstetric history-may have relevance with the present infertility problem
  • Sexual history with frequency of coitus and sexual dysfunction
  • Personal and lifestyle history including age, occupation, exercise, stress, dieting, smoking, and alcohol use, all of which can affect fertility

pagePhysical examination should comprise :

  • Calculation of the patient's body mass index (BMI)
  • Anemia
  • Thyroid enlargement
  • Galactorrhea
  • Hirsutism, acne
  • Examination to rule out /confirm the above
  • For abdominal masses
  • Local inspection of female genitalia and vaginal examination.

Laboratory investigations for ovarian function

  • Day 2 blood hormone namely FSH and LH
  • Prolactin level
  • Estradiol value
  • Thyroid function test
  • Anti Mullerian hormone

Authored By Dr. N.P. Vijayalakshmy MBBS, M.D., D.G.O

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