A 28-year- old woman and her partner are seen in the gynaecology outpatient clinic with primary infertility. They stopped using condoms 2 years ago and have had regular intercourse since then. The partner has no previous medical history of note. He drinks approximately 8 units of alcohol per week and does not smoke. PMH: The woman also has no specific previous medical history except for an appendectomy aged 12 years. Her periods occur every 31 to 46 days and can be heavy at times but not painful.
There is no intermenstrual or postcoital bleeding. She has always had normal smears and has never had any sexually transmitted infections. She takes no medications, drinks approximately 6 units of alcohol per week and does not smoke. Examination: On examination, her body mass index (BMI) is 29 kg/m 2 . She has slight acne on her face and her chest. There are no abdominal scars and the abdomen…
