10 Months in Obstetrics & Gynecology — 28yo Woman | General Gynecology | SMLE Q#403
SMLE Question #403
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 28-year-old woman and her husband present to an infertility clinic after 3 years of inability to conceive despite regular unprotected intercourse. She has polycystic ovary syndrome, secondary amenorrhea for 10 months, longstanding irregular menses, and mild hirsutism. She is overweight and not taking medications. A pelvic ultrasound 1 year ago showed polycystic ovarian morphology. Neither partner has had a formal infertility evaluation. What is the most appropriate next investigation in evaluating this couple’s infertility?
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