7. Revise prognosis and refer: Following basic infertility tests the initial prognosis based on history, clinical examination and assessment of the woman’s and man’s health should be revised. Further counselling and management should be based on this revised prognosis.
The basic infertility investigations in combination with the clinical evaluation can reliably diagnose chronic anovulation as well as tubal, uterine and male factor infertility in the majority of cases. Further management options should be based on this diagnosis taking into consideration the couple’s wishes and resources as well as available treatment
options (See Tool 5).