Waterworks

Been trying to have baby for 2 years but fail.

Night manager at tesco and primary school teacher, not stress
examination done before, breast examination, uterus, sperm, no ED or premature ejaculation ( 15ml of testicles-normal size and texture )

37 years old (W)
40 years old (H)
sex 2-3 times a week
Takes folic acid (W)
BMI 23
uterus ovaries not enlarges
pap smear not done for 3 years

smoke 15-20 ciggs/day, half a bottle of wine/day (W) (H)

Diet - good, healthy (W) (H)
Renal system - ok (H)
Menstrual hx - not heavy, regular, not painful, menarche 14 yrs old, frequency? features? STD?

Married in past for 10 years and failed to get children and ex-wife have 2 children (H)

on OCP sometime ago but stop 2 years ago, also had pregnancy 10 years ago with former husband but termination at 10 weeks (suction)(W)

catholic (W) think being punished for her past.

Differentials: Infertility

Tasks:

Definition for infertility(primarysecondary,)fecundability, Prevalance, Incidence - Shaq

Normal ovarian cycle and what happens when pregnancy occurs - Kaarthik

Key factors on history and examination - Alex

Causes for male and female - Jun Beng & Huey Ting

Diagnosis and investigation for male and female - Fuad & Mona

Management and cost where applicable - Kee Hao

Prognosis and complications - Piggy

Psychosocial and cultural issues - Prish & Ewe Jin