Which of the following lists the core components of a complete infertility workup for a couple?

• A. Medical history, physical examination, semen analysis for the male, assessment of ovulatory status in the female, tubal patency and uterine anatomy evaluation, ovarian reserve testing, infectious disease screening, lifestyle factors, and psychosocial assessment.
• B. Medical history and physical examination only.
• C. Semen analysis and ovulatory status only.
• D. Tubal patency alone.

Answer: (A)

The main idea being tested is what a thorough infertility workup should include for both partners, not just a single test. A comprehensive approach combines history and physical exam with targeted tests to assess all potential contributors to infertility. This includes evaluating the male partner with a semen analysis to check sperm quantity and function, and evaluating the female partner by confirming regular ovulation and also examining tubal patency and uterine anatomy for any structural barriers. Adding ovarian reserve testing helps gauge the remaining egg supply, while infectious disease screening addresses conditions that could affect fertility or pregnancy. Considering lifestyle factors and psychosocial health recognizes elements that can influence fertility outcomes and treatment success. Together, these components provide a complete picture and guide appropriate management. The other options miss key areas: a limited set like only history and exam omits semen analysis and female-factor testing; focusing on semen analysis and ovulatory status alone ignores tubal and uterine factors and broader female contributors; tubal patency alone misses male factors, ovulatory status, and ovarian reserve.