Question

A 23-year-old woman accompanied by her mother-in-law comes to the infertility clinic. She has been having regular intercourse for 6 months but is not able to conceive. What is the next best step?

• A. Semen analysis for husband
• B. Reassure and review the couple after 6 months
• C. Hysterolaparoscopy
• D. Diagnostic hysteroscopy

Answer 1

The Correct Option is B

In the scenario where a 23-year-old woman has been trying to conceive for 6 months without success, it is important to understand the definition of infertility. Infertility is typically defined as the inability to conceive after 12 months of regular, unprotected intercourse. Since this timeframe has not yet been reached, the appropriate approach is to wait and allow for more time.

Given the options:

Option	Consideration
Semen analysis for husband	Early at this stage; usually considered after 12 months.
Reassure and review the couple after 6 months	Appropriate action considering the time frame of less than 12 months.
Hysterolaparoscopy	Invasive and usually considered later in the infertility workup.
Diagnostic hysteroscopy	Also invasive; generally not first line at this early stage.

Thus, the correct and best course of action is to reassure the couple and review them after 6 months. This approach acknowledges the normal variations in fertility and allows additional time for natural conception.