![Page 1: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/1.jpg)
HISTORY TAKING IN INFERTILITY
Dr. Gayathiri Ganesan RamMS(O.G), Fellow in Reproductive Medicine and Andrology
Consultant Infertility SpecialistARC Fertility Centre
![Page 2: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/2.jpg)
Failure to conceive within 1 year of regular unprotected coitus.
WHAT IS INFERTILITY?
![Page 3: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/3.jpg)
Primary – patients who have never conceived.
Secondary – previous pregnancy achieved but failure to conceive subsequently.
WHAT ARE THE TYPES?
![Page 4: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/4.jpg)
80% couple achieve pregnancy in 1 year.
Another 10% achieve by end of 2nd year.
Another 10% remain infertile by end of 2nd year.
INCIDENCE
![Page 5: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/5.jpg)
NAME - Identification
AGE- young/ elder.
EDUCATION – IQ level.
OCCUPATION – Stress level/ type of work/ Exposure to toxins/ associated to obesity.
FEMALE PARTNER
![Page 6: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/6.jpg)
MENSTRUAL HISTORY Menarche – attained or not? Age – early or late? Regularity- RMC or IRMC? Flow – less or more? Associated with clots? Duration of cycle? Dysmenorrhea?
![Page 7: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/7.jpg)
MARITAL HISTORY Duration of marriage? Consangity – I / II/ III / NCM ? Cohabitation How long are they trying for? Contraceptives?
![Page 8: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/8.jpg)
SEXUAL HISTORY Frequency – adequacy? H/O dysparunea? Pain at the beginning or end of act? H/O semen coming out immedietely? Satisfactory or not? H/O lubricants? Other issues like burning or irritation?
![Page 9: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/9.jpg)
OBSTETRIC HISTORY Para Type of conception? Previous deliveries. Mode/ indication. Full term or not? Abortions/ which trimester? D&C? Incompetence/ Sterilization?
![Page 10: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/10.jpg)
PAST MEDICAL HISTORY BP – recent or long term. DM- drugs / OHA / Insulin. PT – tubal issues. BA – seasonal or regular/ steroid. Epilepsy – drugs Thyroid Heart disease – type/ compensated or
not? Mumps (tubal)
![Page 11: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/11.jpg)
PAST SURGICAL HISTORY D’Lap – Indication. CPT. LOD? Myomas Cystectomy Resection? Hysteroscopy Sterilization? Appendicectomy Salphingectomy Other laps?
![Page 12: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/12.jpg)
PAST MEDICAL HISTORY Previous treatment? IUI – drugs used? ICSI details.
![Page 13: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/13.jpg)
CURRENT MEDICATION Thyroid correction Glycemic control PCOD – metformin Prolactin Heart problem – digoxin BA – neb/ puff
![Page 14: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/14.jpg)
FAMILY HISTORY Infertility CA DM HT Siblings Age of menopause of sister/ mother
(pof)
![Page 15: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/15.jpg)
NAME – Identity.
AGE – young/elder.
EDUCATION
MALE PARTNER
![Page 16: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/16.jpg)
OCCUPATION Type of work Heavy or light work Hours Exposure to toxins
![Page 17: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/17.jpg)
H/O TRAUMA Type Age Surgery Testis affected?
![Page 18: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/18.jpg)
PAST MEDICAL HISTORY DM HT Psycosis TB (Orcitis) BA (antihistamines/ steriods) Epilepsy (drugs) Gastritis (antacids) Thyroid STI Testosterones and adjuvants
![Page 19: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/19.jpg)
PAST SURGICAL HISTORY Hydrocele Hernia Orchidectomy Testicular biopsy Appendix Chole
![Page 20: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/20.jpg)
FAMILY HISTORY HT DM CA Infertility Siblings
![Page 21: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/21.jpg)
PERSONAL HISTORY Smoking Alcohol Substance abuse Diet
![Page 22: History taking in infertility by Dr. Gayathiri](https://reader035.vdocument.in/reader035/viewer/2022062901/58f9b1531a28abe7318b45cf/html5/thumbnails/22.jpg)
SEXUAL HISTORY Frequency Erection Ejaculation H/O lubrication