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A Couple With Infertility
John A. Collins, MD
JAMA. 1995;274(14):1159-1164.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Dr Daley
: Mrs B is a 32-year-old paralegal. Married for 5 years to Mr B, a 32-year-old manager, they have been trying to conceive since 1992. They are both members of a health maintenance organization and live in Massachusetts, where health insurance coverage of infertility and advanced reproductive technologies is mandated by the state.
In good health, Mrs B has never been pregnant and used oral contraceptives for 4 years before attempting pregnancy. Her menarche was at 12 years of age, with her cycles occurring every 28 days, lasting 4 days, with spotting between day 22 and day 25. In July 1993, after 1 year of attempting to conceive, the patient was referred by her primary physician to an infertility specialist. Mrs and Mr B then sought care from Dr T, another infertility specialist. Mrs B's past medical history is unremarkable except for a family history of fibrocystic breast disease.
. . . [Full Text PDF of this Article]
Footnotes
Dr Collins is from the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario.
This conference took place at the Obstetrics/Gynecology Grand Rounds of the Beth Israel Hospital, Boston, Mass, on May 31, 1995.
Reprint requests to Division of General Medicine and Primary Care, Beth Israel Hospital, 330 Brookline Ave, LY339, Boston, MA 02215 (Ms Walzer).
Clinical Crossroads at Boston's Beth Israel Hospital is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Janet Walzer, MEd, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.
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