Infertility is a disease defined by the failure to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse and affects approximately 12% of the reproductive-aged population. A basic infertility evaluation of the couple is essential to determine the cause(s) and the appropriate treatment or need for referral. However, clinical practice decisions are affected by limited data on efficacy of infertility screening tests in relation to clinical outcome, changing practice patterns, and lack of evidence as the basis for many infertility treatments and procedures. This presentation addresses the causes of male and female infertility, provides guidance for performing a pertinent physical examination and patient history and outlines the basic diagnostic tests for assessing the most common causes of infertility and their interpretation. Treatments discussed include nongonadotropin therapies and the role of selected surgical procedures. Also discussed are indications for referral to a board-certified reproductive endocrinologist or urologist and counseling for patients regarding their prognosis and options for family building.
The American College of Obstetricians and Gynecologists is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA PRA Category 1 Credit(s)™
The American College of Obstetricians and Gynecologists designates this enduring material for a maximum of 7 AMA PRA Category 1 Credits™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.
College Cognate Credit(s)
The American College of Obstetricians and Gynecologists designates this enduring material for a maximum of 7 Category 1 College Cognate Credits. The College has a reciprocity agreement with the AMA that allows AMA PRA Category 1 Credits™ to be equivalent to College Cognate Credits.
Conflict of Interest Disclosure
The ACOG eModule Infertility was developed under the direction of the eModule Advisory Committee and contributor. The ACOG eModule is planned and produced in accordance with the Standards for Enduring Materials of the Accreditation Council for Continuing Medical Education. Any discussion of unapproved use of products is clearly cited in the appropriate critique.
Current guidelines state that continuing medical education (CME) providers must ensure that CME activities are free from the control of any commercial interest. The contributor(s) and the advisory council declare that neither they nor any business associate nor any member of their immediate families has material interest, financial interest, or other relationships with any company manufacturing commercial products relative to the topics included in this publication or with any provider of commercial services discussed in the eModule.
Credit for each ACOG eModule will be available for 3 years from the initial date of release or revision.