Fertility Causes, Investigation and Prognosis
Assess male and female fertility problems as a couple-based pathway.
How to prepare for MRCOG Part 2
Build a complete clinical map, then rehearse diagnosis, test selection and interpretation, management, prognosis and patient-centred safety in current UK practice.
Core concepts
Concept 1
Epidemiology, aetiology, development, endometriosis, ovulation, semen, tubal factors, investigation limits and prognosis.
Exam cue: Identify the clinical domain and exact task before reviewing the option list.
Concept 2
Sequence investigations according to age, duration, history and how each result changes prognosis or treatment.
Exam cue: Use gestation, urgency, trend, prior treatment and patient preference to rank plausible answers.
Concept 3
Recognise serious endocrine, genetic or structural disease and provide informed counselling about uncertainty.
Exam cue: Choose the safest proportionate action for the stated point in care and know when multidisciplinary escalation is required.
Concept 4
Use current UK obstetric and gynaecological guidance while integrating diagnosis, investigations, management and epidemiology.
Risk pitfalls and guardrails
Investigating one partner or one hormone in isolation without timing, biological variability and couple context.
Guardrail: Do not choose a possible diagnosis or later definitive intervention when the question asks for the single best answer at this exact point in care.
Choosing a theoretically possible answer rather than the single best option at this point in the pathway.
Guardrail: Do not choose a possible diagnosis or later definitive intervention when the question asks for the single best answer at this exact point in care.
Inventing a paper-specific or Knowledge Area weighting that RCOG has not published.
Guardrail: Only the 40% SBA and 60% EMQ mark split is official; RCOG publishes no numerical Knowledge Area or paper-specific allocation.
Memory anchors
Fertility Causes, Investigation and Prognosis: scope
Epidemiology, aetiology, development, endometriosis, ovulation, semen, tubal factors, investigation limits and prognosis.
Fertility Causes, Investigation and Prognosis: clinical reasoning
Sequence investigations according to age, duration, history and how each result changes prognosis or treatment.
Fertility Causes, Investigation and Prognosis: safety boundary
Recognise serious endocrine, genetic or structural disease and provide informed counselling about uncertainty.
Fertility Causes, Investigation and Prognosis: common trap
Investigating one partner or one hormone in isolation without timing, biological variability and couple context.
Fertility Causes, Investigation and Prognosis: Part 2 sequence
Define the diagnosis or decision, select and interpret the investigation, compare management options, then check epidemiology, prognosis and patient-centred safety.
Checkpoint rule
Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.
Knowledge Check (after reading)
Short check-up to confirm understanding of this module.
Check-up Questions
A couple has tried to conceive for 18 months. The woman has regular cycles and no pelvic history; the male partner has not been assessed. What is the most appropriate initial test for him?
A woman with regular 28-day cycles asks whether a single anti-Müllerian hormone result can tell her if she will conceive naturally. What is the best explanation?
Answer all questions to submit.
Next step personalized recommendations
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Move forward only after this module is stable.
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