Q: Should everyone have an infertility workup?

A: The basic infertility evaluation includes:

  • An assessment of ovulation (usually by menstrual history, basal body temperatures, and ovulation kits)
  • Semen analysis
  • Checking the uterus and fallopian tubes with a hysterosalpingogram
  • A postcoital test (PCT)

Many doctors start Clomid therapy without this workup. But recently there were some reports of potential negative effects of Clomid. That's why it may be a good idea to consider a basic fertility workup before undergoing ovulation induction.