Which of the following describes the typical initial steps in an infertility evaluation?

Confirm ovulation in the female, assess tubal patency and uterine anatomy as indicated, and perform semen analysis for the male partner.

Assess tubal patency only.

Confirm ovulation in the female.

Confirming that ovulation occurs in the female is the starting point in infertility evaluation because it directly identifies a common and treatable cause of infertility. If ovulation is not occurring, addressing ovulatory dysfunction can often restore fertility without needing invasive tests. Verifying ovulation guides the next steps: once ovulatory status is established, you can pursue further assessment of the uterus and fallopian tubes or evaluate the male partner with a semen analysis as indicated.

While testing tubal patency or performing a semen analysis are important parts of a full workup, they are typically pursued after confirming that the female is ovulating. If ovulation is confirmed, subsequent testing can be targeted based on the clinical picture.

Perform semen analysis for the male partner.

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