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The crux of infertility evaluation rests on the couplesí medical and pregnancy history as well as a limited number of tests. Because of this, it is crucial that both partners be present at the initial screening evaluation. Infertility is a shared experience, and it is common that problems are noted in both partners.

As with most medical evaluations, the process used to identify a potential problem should begin with the easiest, least expensive and least invasive approach. Therefore, the initial female and male reproductive histories direct the diagnostic process. Diagnosis requires an assessment of ovulation, sperm production, fallopian tubes and the uterine cavity.

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