MIMS Education

The Infertile Couple: A Primary Care Approach to the Evaluation and Management of Infertility

The Infertile Couple: A Primary Care Approach to the Evaluation and Management of Infertility

Family MedicineGeneral PracticeInternal MedicineObstetrics And Gynaecology
A badge with ribbon in color black No CME/CPD credits | An analog clock in color black 1 Hour | A black calendar with white triangle in center that has a black exclamation point in the middle 17 Feb 2026 

Overview

About this course

Infertility is defined as the failure to achieve a pregnancy after 12 months or more of regular unprotected sexual intercourse. This common reproductive pathology, affecting 1 in 6 people globally, results in a multitude of negative psychosocial consequences to individuals and relationships. Therefore, the primary care physician must be equipped with the knowledge on initial evaluation of an infertile couple, including basics of ovulation detection and assessment of other female and male factors of this condition.

The first step in the initial evaluation of an infertile couple is determining clinical evidence of ovulation as ovulatory dysfunction comprises 20-40% of all infertility factors. If ovulation is occurring, other female and male factors must be investigated as infertility treatment is dependent on the underlying etiology.

This e-learning module aims to provide the primary care physician with the skillset to effectively perform initial infertility evaluation and diagnosis and introduce treatment options to couples facing this problem.

Learning outcomes

At the end of this learning module, participants should be able to:

  • Review the menstrual cycle.
  • Enumerate and define the parameters for normal and abnormal uterine bleeding.
  • Define ovulation and identify tests for its detection.
  • Explain the process of natural conception.
  • Define infertility.
  • Perform timely initial evaluation of the infertile couple through thorough medical history, physical examination and basic workup.
  • Recognize the causes and treatment of infertility.

Topics covered

  • A review of the menstrual cycle
  • How do you detect ovulation?
  • What happens in natural conception?
  • What is infertility?
  • Approach to the evaluation and management of infertility
    • Initial evaluation of the infertile couple
    • Causes of infertility
    • Infertility treatment

Speaker for this module

Dr Arby Jane-modified.png

Dr Arby Jane Roque-Igualada, M.D.
Section of Reproductive Endocrinology and Infertility
Department of Obstetrics and Gynecology
UP - Philippine General Hospital

Keywords: infertility, ovulation, ovulation detection, infertility evaluation, ovulatory dysfunction, ovulation induction, infertility treatment, intrauterine insemination, in vitro fertilization

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