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Pregnancy and Reproductive Health — Infertility

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Case 1 of 8Pregnancy and Reproductive HealthInfertility (e.g., polycystic ovarian syndrome)

A 34-year-old woman, G0, and her 36-year-old male partner attend a family practice clinic because they have not conceived after 18 months of unprotected intercourse about 2 to 3 times per week. Her menstrual cycles are regular every 28 to 30 days with no dyspareunia, and she has no history of pelvic infection, abdominal surgery, or medication use. Her partner has no history of mumps, testicular injury, or surgery. He started testosterone gel 2 years ago for fatigue, obtained through an online men's health clinic, and he uses cannabis daily. Both partners have a normal BMI, and her physical examination is unremarkable.

Question 1 of 24

Which of the following are the most appropriate initial investigations for this couple?

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