Infertility Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 39-year-old nulligravid woman presents for an infertility evaluation. She and her partner have been trying to conceive for 6 months without success despite regular unprotected intercourse 2 to 3 times per week. Her menstrual cycles are regular. She has no dysmenorrhea or intermenstrual bleeding. Past medical history is noncontributory, and she was hospitalized 20 years ago for a pelvic infection that required IV antibiotics. Her mother and two older sisters did not have fertility challenges. On exam, she is normotensive, with a body mass index of 32 kg/m². The physical exam and serum hormone testing are normal. A hysterosalpingogram (HSG) shows a broad, fundal indentation of 6 mm into the uterine cavity (angle of indentation 120°) and dilated fallopian tubes without spill into the peritoneal cavity. Her male partner is healthy, has fathered two children in a previous relationship, and has a normal semen analysis. Which of the following is the most appropriate next step in management?

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Laparoscopic correction of the uterine indentation

Ovulation induction (OI) with intrauterine insemination (IUI)

Nutrition consult for weight loss combined with continued regular intercourse

Operative hysteroscopy

Referral to infertility specialist for in vitro fertilization (IVF)