Hope
Male Reproductive System
0
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G6_F1.jpg"}},{"insert":"\n\n"},{"insert":"It is the end of the year, and you are cleaning up your office.\n\nYou\u0027re ready to move to a new, bigger, and better office next year, and all that is left is to sort out the old patient records.\n\nWhilst doing so, you cannot help but reminisce about some of the more interesting cases you\u0027ve handled in the past year.\n\nBefore you know it, you\u0027ve picked up a file, and are halfway down memory lane ...\n"}]}
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{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G6_F2.jpg"}},{"insert":"\n\n"},{"insert":"Tyler and Caroline Coleman walk into your office. They are 28 and 26 years old respectively, and have been married for 2 years now.\n\nBoth have successful careers as college teaching assistants, and are only a few months away from completing their doctorates.\n\nThe couple has been trying to conceive for the least 6 months.\n\nCaroline is particularly distressed that she has so far failed to become pregnant, despite coming off \u0027the pill\u0027 for the same duration.\n\nYou pore over the couple\u0027s medical records, ask a few questions related to their reproductive health, and examine both.\n\nYour clinical assessment fails to elicit abnormalities in either person.\n"}]}
3
{"ops":[{"insert":"What do you do now?\n"}]}
1. Refer them to a reproductive specialist for evaluation of infertility
2. Start the laboratory workup for infertility
3. Offer fertility advice and follow them up in 6 months
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