Thanks a lot for your guidance throughout the session. It was such a great help.
EMQs on Infertility,
Posted by A A.
Dear Paul
Can you please help clarify these EMQs, and whether to answer infertility EMQs in exams according to the NICE Draft 2012, or 2004 guidelines. As press release by NICE mentioned that till final publication of guideline 2004 version will be followed by NHS. Answers on website are not according to draft either. Draft mentions metformin before clomiphene for PCOS & infertility. And IUI should not be offered for unexplained infertility routinely . Please correcct me if I am wrong
Question 6A 35 year old woman with her 45 year old partner has been referred to the infertility clinic because of 2 years of primary infertility. The woman has an irregular menstrual cycle every 2-4 months and her partner?s semen analysis shows a volume of 3ml, concentration of 30,million/ml and motility of 60%. The woman?s BMI is 24 and there is no significant past medical history. Investigations have confirmed a diagnosis of polycystic ovary syndrome.
Question 7A 34 year old woman with her 35 year old partner has been referred to the infertility clinic because of 2 years of primary infertility. The woman has a regular and normal 28 day cycle, her BMI is 26 and she has no other symptoms. Investigations have shown normal LH = 3.5mIU/ml, FHS = 5.0mIU/ml, Thyroid function tests, prolactin and day 21 progesterone
concentration confirms ovulatory cycles. Her partner?s semen analysis is normal. Hystero-salpingogram confirms bilateral patent fallopian tubes.
Essay corrections
Posted by lamya B.
Dear Dr.Paul,
If i subscribe to your 6 months course will you be giving me essays to write and correct them from now or only 8 weeks before the exam.