Investigation of the female patient

In: The Subfertility Handbook · 2010 · pp. 33–42 · doi:10.1017/cbo9780511919244.005 · W2484987550
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This chapter outlines the logical approach to investigating female subfertility, starting with general examination and progressing to transvaginal ultrasound, ovulation assessment, hysterosalpingography, hysteroscopy/laparoscopy, and consideration of X-chromosome abnormalities.

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The Subfertility Handbook Buy print or eBook [Opens in a new window] A Clinician's Guide - The Subfertility Handbook - The Subfertility Handbook - Copyright page - Contents - Foreword - Contributors - Chapter 1 Subfertility – a logical approach - Chapter 2 Pre-pregnancy counseling and treatment - Chapter 3 The first interview with a new couple - Chapter 4 Investigation of the female patient - Chapter 5 Assessment of the male partner - Chapter 6 Ultrasound in the investigation of the subfertile female - Chapter 7 Treatment options for male infertility - Chapter 8 The management of anovulation (including PCOS) - Chapter 9 The role of artificial insemination with partner semen in an ART program - Chapter 10 Early pregnancy loss - Chapter 11 In vitro fertilization: - Chapter 12 In vitro maturation - Chapter 13 The use of donor insemination - Chapter 14 Using donor oocytes - Chapter 15 Embryo donation: - Chapter 16 Endometriosis and its treatment - Chapter 17 The role of surgery in female subfertility - Chapter 18 Laboratory techniques in IVF - Chapter 19 Infertility counseling - Index Published online by Cambridge University Press: 06 December 2010 Edited by Book contents - The Subfertility Handbook - The Subfertility Handbook - Copyright page - Contents - Foreword - Contributors - Chapter 1 Subfertility – a logical approach - Chapter 2 Pre-pregnancy counseling and treatment - Chapter 3 The first interview with a new couple - Chapter 4 Investigation of the female patient - Chapter 5 Assessment of the male partner - Chapter 6 Ultrasound in the investigation of the subfertile female - Chapter 7 Treatment options for male infertility - Chapter 8 The management of anovulation (including PCOS) - Chapter 9 The role of artificial insemination with partner semen in an ART program - Chapter 10 Early pregnancy loss - Chapter 11 In vitro fertilization: - Chapter 12 In vitro maturation - Chapter 13 The use of donor insemination - Chapter 14 Using donor oocytes - Chapter 15 Embryo donation: - Chapter 16 Endometriosis and its treatment - Chapter 17 The role of surgery in female subfertility - Chapter 18 Laboratory techniques in IVF - Chapter 19 Infertility counseling - Index Usually investigation for infertility is carried out by gynecologists, because if a couple failed to conceive it has been traditionally expected that the woman has a problem and should visit a doctor. The general examination starts when the patient comes into the consulting room from observations of body habitus, skin, hair excess, gait and posture. Ultrasonography is a more accurate method compared with bimanual examination so more precise data about ovaries and uterus may be obtained with a transvaginal ultrasound probe than with palpation. The assessment of ovulation involves history, examination and investigation. At hysterosalpingography (HSG) radio-opaque dye is injected through the small canula via the cervix into the uterine cavity under X-ray screening. In patients with infertility, diagnostic hysteroscopy is usually combined with laparoscopy. X-chromosome abnormalities may affect fertility in women with Turner syndrome, especially in mosaic form. - Type - Chapter - Information - The Subfertility HandbookA Clinician's Guide, pp. 33 - 42Publisher: Cambridge University PressPrint publication year: 2010 Accessibility compliance for the HTML of this chapter is currently unknown and may be updated in the future. To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle. 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