Gynaecology & Obstetrics

20 learning units • 100 chapter sections • 200 explained questions. Assess pregnancy and reproductive health, recognise emergencies and plan respectful treatment, referral and follow-up.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 18 / 20

Subfertility & Reproductive Endocrinology

Assess fertility concerns jointly and recognise when earlier specialist input is needed.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. What belongs in an initial fertility history? A. Duration, cycles, previous pregnancies and both partners’ relevant historyB. Only one partner’s ageC. Only the wedding dateD. Only the latest scan

Question 02. When may earlier specialist referral be appropriate? A. Only after every possible test is completedB. Never before several yearsC. Only after a live birthD. Known risk factors or treatment likely to impair fertility

Question 03. What does semen analysis assess? A. Every cause of infertility in both partnersB. Tubal patencyC. Endometrial thicknessD. An important male reproductive factor

Question 04. Can one normal fertility test establish normal overall fertility? A. YesB. Only after ultrasoundC. NoD. Only after a blood count

Question 05. What can irregular or absent cycles suggest? A. Guaranteed normal ovulationB. Definite tubal occlusionC. A diagnosis of cancer in every caseD. Ovulatory dysfunction requiring contextual assessment

Question 06. Is polycystic ovarian appearance alone sufficient to diagnose PCOS? A. YesB. Only after one scanC. Only if pain is absentD. No

Question 07. What should fertility treatment counselling include? A. A guarantee of pregnancyB. Realistic chances, burdens, risks and alternativesC. Only the procedure nameD. No discussion of multiple pregnancy

Question 08. Why discuss ovarian hyperstimulation with relevant assisted-conception treatment? A. It is a potential treatment complicationB. It proves treatment successC. It occurs in every untreated cycleD. It eliminates the need for follow-up

Question 09. When should fertility preservation be considered around gonadotoxic treatment? A. Only after all reproductive function is lostB. Never in cancer careC. Only after menopauseD. Before treatment where feasible with urgent coordination

Question 10. Which approach supports patients experiencing fertility-related distress? A. Minimise their concernsB. Offer support without blame or guaranteed outcomesC. Insist treatment must continueD. Promise every cycle will succeed

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

NICE NG257 — Fertility problems, 2026

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.