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Workup of Male and Female Fertility:
Male infertility is evaluated primarily with the semen analysis. Infertile men can be classified as hypogonadotropic, hypergonadotropic or normal gonadotropic. The A thorough evaluation of the male partner is necessary in all cases of infertility. Reevaluation is important in men with a normal semen analysis when no cause of decreased fertility is apparent or when therapy in the woman fails to result in pregnancy.


Female:
An infertility evaluation is usually initiated after one year of regular unprotected intercourse in women under age 35 years and after six months of unprotected intercourse in women age 35 years and older. However, the evaluation may be initiated sooner in women with irregular menstrual cycles or known risk factors for infertility, such as endometriosis, a history of pelvic inflammatory disease, or reproductive tract malformations. The etiology and treatment of female infertility, as well as the etiology, evaluation, and treatment of male infertility, are discussed separately.
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