--- title: A 38-year-old nulliparous woman presents to discuss IVF description: It's IVF Quiz Time with Med-Challenger! image: https://challengercme.com/hubfs/QUIZ%20TIME.png --- [![Med-Challenger-green-logo-1024x244](https://challengercme.com/hubfs/Med-Challenger-green-logo-1024x244.webp) ](https://challengercme.com/) - [SHOP EXAM PREP & CME ](https://challengercme.com/blog/a-38-year-old-nulliparous-woman-presents-to-discuss-ivf#) ### [EMERGENCY MEDICINE](https://challengercme.com/emergency-medicine-exam-review-cme-course) [ABEM exam prep](https://challengercme.com/emergency-medicine-exam-review-cme-course), [MyEMCert](https://challengercme.com/emergency-medicine-myemcert-exam-review-course), etc. ### [FAMILY MEDICINE](https://challengercme.com/family-medicine-exam-review-cme-course) [ABFM exam prep](https://challengercme.com/family-medicine-exam-review-cme-course), [ABFM KSA](https://challengercme.com/family-medicine-moc-ksa-course), etc. ### [INTERNAL MEDICINE ABIM exam prep, MOC points, etc.](https://challengercme.com/internal-medicine-exam-review-cme-course) ### [OBGYN ABOG exam prep, CREOG, etc.](https://challengercme.com/obgyn-exam-review-cme-course) ### [PEDIATRICS ABP exam prep, MOCA-PEDS, etc.](https://challengercme.com/pediatric-medicine-exam-review-cme-course) ### [PEDIATRIC EM](https://challengercme.com/pediatric-emergency-medicine-3rd-edition) [ABP/ABEM exam prep Ed.3](https://challengercme.com/pediatric-emergency-medicine-3rd-edition), [Ed.2](https://challengercme.com/pediatric-emergency-medicine-pack2), etc. ### [SPECIAL PURPOSE / SPEX FSMB exam prep, etc.](https://challengercme.com/special-purpose-exam-review-spex-exam-preparation-course) ### [PHYSICIAN ASSISTANT](https://challengercme.com/physician-assistant-exam-review-cme-course) [PANCE / PANRE](https://challengercme.com/physician-assistant-exam-review-cme-course), [CAQ-EM](https://challengercme.com/pa-caq-em-review-course), etc ### [NURSE PRACTITIONER](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course) [FNP](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course), [ENP](https://challengercme.com/emergency-nurse-practitioner-exam-review-cne-course), [AGNP](https://challengercme.com/adult-gerontology-nurse-practitioner-exam-review-cne-course), [PNCB/CPNP](https://challengercme.com/pediatric-nurse-practitioner-exam-review-cne-course), etc. ### [NURSING / NCLEX NCLEX, CNE, etc.](https://challengercme.com/nursing-certification-nclex-exam-review-cne-courses) ### [STATE-REQUIRED CME / CE State CME requirements, etc.](https://challengercme.com/state-required-cme) ### [JOINT COMMISSION CME](https://challengercme.com/stroke-center-ce-review-course) [Stroke](https://challengercme.com/stroke-center-ce-review-course), [Cardiac](https://challengercme.com/cardiac-center-ce-review-course), [Trauma](https://challengercme.com/trauma-center-ce-review-course), [ALS](https://challengercme.com/advanced-life-support-and-resuscitation-center-ce-review-course), etc. ### [PROFESSIONALISM CME Professionalism review with CME](https://challengercme.com/professionalism-review-course) ### [DERMATOLOGY CME Dermatology review with CME](https://challengercme.com/dermatology-review-course) ### [USMLE STEP 2CK / STEP 3 USMLE exam prep, etc.](https://challengercme.com/usmle-certification-exam-review-clerkship-exams-shelf-exam-review) - [INSTITUTIONS ](https://challengercme.com/atlas-pro-inst) - [BLOG ](https://challengercme.com/blog) - [SUPPORT ](https://support.challengercme.com/knowledge) [SIGN IN ](https://fuse.challengercme.com/sign-in?redirectURL=%2Fuserdash) quick quiz # A 38-year-old nulliparous woman presents to discuss IVF It's IVF Quiz Time with Med-Challenger! 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The couple has tried to become pregnant for more than 12 months and wishes to proceed with IVF rather than trying other infertility treatments due to the woman’s age. At a minimum, what testing should be completed as part of the couple's evaluation prior to starting IVF? - Pap smear and pelvic examination, semen analysis, and HIV testing - uterine cavity evaluation, thyroid hormones and prolactin levels on the woman, and testosterone level on the man - ovarian reserve testing, screening for sexually transmitted infections, and urine culture - genetic testing (if indicated), ovarian reserve testing, uterine cavity evaluation, and semen analysis - semen analysis, endometrial biopsy, and screening both partners for sexually transmitted infections The correct answer is: genetic testing (if indicated), ovarian reserve testing, uterine cavity evaluation, and semen analysis   Before beginning IVF treatment, the couple must undergo a basic evaluation that includes ovarian reserve testing, appropriate genetic testing, semen analysis, and a uterine cavity evaluation. Determining the cause of infertility in this couple may pave the way for appropriate counseling about the success rate of IVF as well as other options beyond IVF. Ovarian reserve is important when determining the likelihood of a successful embryo, and an evaluation of the uterine cavity may reveal abnormalities that could pose difficulties during implantation. Semen analysis may help determine the method required for fertilization. Genetic testing should be performed if either partner has a family history of genetic defect. The other tests listed above may also be needed following a history and physical examination findings. Specifically, HIV testing, screening for sexually transmitted infections, and other testing, such as rubella titers and testing to rule out hepatitis B and C virus infection, are recommended--and, in some cases, required--prior to conception or may be considered part of prenatal testing. **References:** Jayaprakasan K, Hopkisson J. Assisted reproduction treatments. In: Shaw RW, et al. *Gynaecology*. 4th ed., 2011:312-334. Strauss JF III, Barbieri RL. Assisted reproduction. Strauss JF III, Barbieri RL. In: *Yen & Jaffe's Reproductive Endocrinology.* 7th ed., 2014: 734-773.e12.   This question appears in [Med-Challenger OBGYN Exam Review with CME](https://challengercme.com/obgyn-exam-review-cme-course) [Try for free and save](https://fuse.challengercme.com/fulltrial/188). Ace your exams and meet your CME/MOC requirements for just $26 a month! 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All rights reserved [Privacy Policy](https://support.challengercme.com/knowledge/what-are-your-terms-of-service-privacy-policy-user-agreement) ```json { "@context" : "https://schema.org", "@id" : "https://challengercme.com/blog#webpage", "@type" : "WebPage", "description" : "The Challenger Medical Education Blog offers informative patient cases, medical certification exam preparation courses and board exam review tips.", "inLanguage" : "en", "isPartOf" : { "@type" : "WebSite", "name" : "Med-Challenger", "url" : "https://challengercme.com/" }, "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog", "@type" : "WebPage" }, "name" : "Challenger Medical Education Blog", "primaryImageOfPage" : { "@type" : "ImageObject", "url" : "https://challengercme.com/hubfs/Webpage%20Featured%20Images/Medical%20Education%20Blog%20-%20Free%20CME%20resources%2c%20certification%20exam%20tips%2c%20clinical%20challenge%20questions%20and%20more.png" }, "publisher" : { "@type" : "Organization", "name" : "Challenger Corporation", "url" : "https://challengercme.com/" }, "url" : "https://challengercme.com/blog" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "about" : [ "In vitro fertilization (IVF)", "Infertility evaluation", "Ovarian reserve testing", "Uterine cavity evaluation", "Semen analysis", "Genetic testing", "Preconception infectious disease screening", "Medical education", "Exam preparation" ], "articleSection" : "Obstetrics and Gynecology", "author" : { "@type" : "Organization", "name" : "Challenger Corporation" }, "dateModified" : "2025-01-07T15:30:01.382Z", "datePublished" : "2025-01-07T15:30:00.000Z", "description" : "It's IVF Quiz Time with Med-Challenger!", "headline" : "A 38-year-old nulliparous woman presents to discuss IVF", "image" : [ { "@type" : "ImageObject", "description" : "Med-Challenger logo", "url" : "https://challengercme.com/logo.png" } ], "inLanguage" : "en-US", "keywords" : [ "IVF", "infertility", "ovarian reserve", "uterine cavity", "semen analysis", "genetic testing", "STI screening", "HIV testing", "rubella titers", "hepatitis B", "hepatitis C", "OBGYN exam", "Med-Challenger" ], "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog/a-38-year-old-nulliparous-woman-presents-to-discuss-ivf", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://challengercme.com/logo.png" }, "name" : "Challenger Corporation" } } ``` ```json { "@context" : "https://schema.org", "@type" : "QAPage", "mainEntity" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "At minimum: genetic testing (if indicated), ovarian reserve testing, uterine cavity evaluation, and semen analysis. These tests help assess ovarian reserve and the likelihood of successful embryo development, identify uterine abnormalities that could affect implantation, determine semen parameters and the method needed for fertilization, and detect heritable conditions when family history suggests testing. Additional testing (HIV, STI screening, rubella titers, hepatitis B/C) may be recommended based on history or local requirements." }, "name" : "What minimum testing should be completed prior to starting IVF?", "text" : "A 38-year-old nulliparous woman presents with her husband to discuss in vitro fertilization (IVF). The couple has tried to become pregnant for more than 12 months and wishes to proceed with IVF rather than trying other infertility treatments due to the woman's age. At a minimum, what testing should be completed as part of the couple's evaluation prior to starting IVF?" } } ``` ```json { "@context" : "https://schema.org", "@type" : "ItemList", "description" : "Exam-style review questions based on this article’s teaching points.", "itemListElement" : [ { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Genetic testing (if indicated), ovarian reserve testing, uterine cavity evaluation, and semen analysis." }, "name" : "What testing should be completed prior to starting IVF?" }, "position" : 1 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "A uterine cavity evaluation may reveal abnormalities that could pose difficulties during implantation." }, "name" : "Which evaluation may reveal abnormalities that could pose difficulties during implantation?" }, "position" : 2 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Semen analysis may help determine the method required for fertilization." }, "name" : "Which test may help determine the method required for fertilization?" }, "position" : 3 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Genetic testing should be performed if either partner has a family history of a genetic defect." }, "name" : "When should genetic testing be performed in this couple's infertility evaluation?" }, "position" : 4 } ], "name" : "Practice Questions", "numberOfItems" : 4 } ```