Nội dung của trang này:
Nội dung của trang này:
Clinical Presentation
Women over 35 years old should have an expedited evaluation and treatment after 6 months of failed attempts to become pregnant. Women over 40 years old require immediate evaluation and treatment. Immediate evaluation is indicated in the presence of amenorrhea or oligomenorrhea; genetic or acquired conditions that may affect ovarian reserve; suspected or known uterine, tubal, or peritoneal disease; stage III-IV or severe endometriosis; and suspected or known male infertility.
Tiền sử bệnh
A thorough medical, surgical, sexual, pregnancy, and contraceptive history must be undertaken. Clinical history suggestive of ovulatory dysfunction includes the presence of premenstrual syndrome, abnormal cycle length, hot flushes, excessive physical exercise (eg athletes) and weight problems. History and physical signs of endocrine dysfunction must be elicited (eg thyroid disorders, diabetes mellitus [DM], galactorrhea). An inventory of medical treatments or intake of recreational drugs known for adverse effects on ovulation (eg steroids, neuroleptics, antidepressants) should be done. Environmental and occupational risk factors for infertility should be noted.
Khám thực thể
Calculate the body mass index (BMI). A thorough physical exam must be performed with emphasis on evaluation of secondary sex traits, external genitalia, and bimanual exam of the pelvic area.