EVALUATION OF THE INFERTILE COUPLE FROM GYNECOLOGIST PERSPECTIVE

Abstract

Objective. The purpose of this research is to study how to approach and diagnosed infertile couples from the perspective of a gynecologist.

Materials and methods. A search was performed in the electronic database PubMed and Google Scholar, taking into account the relevant articles, but also clinical guidelines, published in the last 7 years. The search terms (in English) were: "infertility", "ovarian reserve", "AMH", "premature ovarian failure", "fertility tests", "infertility diagnosis". Subsequently, evidence-based data with major impact and increased interest were analyzed and presented in our paper.

Results. According to the literature review, the situation in which a couple does not conceive, after 12 or more months of unprotected regular sexual intercourse is called infertility. A comprehensive medical history should be obtained from both sexual partners, including the elements relevant to determining the potential causes of infertility. The multidisciplinary team will propose a comprehensive approach through a complex physical examination and recommend a set of clinical and paraclinical investigations. The paraclinical and imaging examination in the therapeutic approach to female infertility has 4 directions for determining the etiology of infertility and, subsequent, depending on the cause, implementation of treatment solutions: reduced ovarian reserve; ovulatory dysfunction; tubal factor; uterine factor.

Conclusions. Currently, the approach of the infertile couple is multidisciplinary and comprehensive, emphasizing that none of the partners is solely responsible or even guilty, infertility being directly or indirectly a consequence of several etiological factors. The causes of female infertility are the most diverse, and timely diagnosis and subsequent treatment increases chances to conceive a healthy child.