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A 25-year-old female patient and her husband present to you for evaluation of infertility

A 25-year-old female patient and her husband present to you for evaluation of infertility. The woman is healthy and is having regular monthly menses. Her husband is 27 years of age and has no medical problems. The couple has been trying to conceive for 3 months.

They have come to you seeking advice about how likely they are to conceive in the next 6 months to 1 year. What should you tell them?

  • 99.9% of couples will conceive in 2 years
  • 85% of couples will conceive within a year
  • 75% of couples will conceive in 3 months
  • 25% of couples will conceive in 6 months
The correct answer is:

85% of couples will conceive within a year

 

Infertility is defined as 1 year of unprotected intercourse without conception. Between 85% and 95% of couples will conceive within 1 year; however, up to 15% of couples may be affected by infertility. Broken down further, 57% of couples will conceive at 3 months, 72% will conceive at 6 months, and another 93% will conceive at 2 years.

Reference:

Fritz MA. Female infertility. In: Fritz MA, Seroff L. Clinical Gynecologic Endocrinology and Infertility. 8th ed., 2010:1137-1190.

 

This question appears in Med-Challenger OBGYN Exam Review with CME

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