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Assessment of female fertility in the general practice setting
Sarah Hunt1, Beverley Vollenhoven2
1MBBS, FRANZCOG, MRMed, PhD candidate, Monash University, Vic; Consultant Gynaecologist, Monash Health, Vic; CREI Clinical Fellow, Monash IVF, Vic.
Background:
An assessment of female fertility may be undertaken in the general practice setting for a variety of reasons. These include concerns about future fertility when pregnancy is not immediately planned, a desire to consider elective oocyte cryopreservation and difficulty conceiving.
Objective:
The aim of this article is to summarise indications, rationale and components of a comprehensive female fertility assessment in a primary care setting.
Discussion:
The primary care physician has an essential role in providing women with guidance, counselling and assessment regarding fertility concerns. A complete initial assessment includes pre-pregnancy screening and counselling, and assessment of ovulation, ovarian reserve and pelvic anatomy to guide further investigation and management.
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