Subfertility + ART 2023
The document is a lecture note on subfertility, focusing on the assessment and treatment of patients with fertility problems. It covers various aspects related to subfertility, including definitions, natural conception rates, primary and secondary subfertility, aetiology (both male and female factors), history taking for both males and females, examinations, early referral criteria for both males and females, investigations in primary and secondary care, management principles in primary care, lifestyle changes, preconception advice, and management in secondary care for specific conditions such as hypogonadotrophic hypogonadism, ovarian dysfunction, peritoneal problems (endometriosis), uterine/tubal factors, and assisted reproduction techniques. The document also emphasizes the importance of a positive approach, couple-centered management, access to evidence-based information, counseling, and contact with fertility support groups. It provides specific details on various tests, treatments, and procedures related to subfertility, catering to both male and female patients.
