A Couple With Infertility
- John A. Collins, MD
Since this article does not have an abstract, we have provided the first 150 words of the full text.
Excerpt
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.
Footnotes
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Dr Collins is from the Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario.
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This conference took place at the Obstetrics/Gynecology Grand Rounds of the Beth Israel Hospital, Boston, Mass, on May 31, 1995.
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Reprint requests to Division of General Medicine and Primary Care, Beth Israel Hospital, 330 Brookline Ave, LY339, Boston, MA 02215 (Ms Walzer).
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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.
