ACOG Infertility Verified Exam Questions and Answers Latest update
2026/2027
Question:
Define infertility and subsequent infertility evaluation (timing)
Answer:
Women older than 35 years should receive an expedited evaluation and undergo treatment after 6
months of failed attempts to become pregnant or earlier, if clinically indicated. In women older than
40 years, more immediate evaluation and treatment are warranted. If a woman has a condition known
to cause infertility, the obstetrician-gynecologist should offer immediate evaluation.
Question:
For infertility assessment: a targeted physical examination of the female partner should be performed
with a focus on vital signs and include
Answer:
a thyroid, breast, and pelvic examination.
Question:
For the female partner, tests will focus on
Answer:
ovarian reserve, ovulatory function, and structural abnormalities
Question:
Infertility affects what percent of couples
Answer:
15%
Question:
Indications for immediate infertility evaluation include the following
Answer:
oligomenorrhea or amenorrhea
- known or suspected uterine, tubal, or peritoneal disease
- stage III or stage IV endometriosis
- known or suspected male infertility
, Question:
Basic infertility evaluation components
Answer:
Female History, Physical, Prepregnancy evaluation Additional evaluation for etiology of infertility:
- diminished ovarian reserve (AMH
or basal FSH and estradiol or Transvaginal US with astral follicle count)
- Ovulatory dysfunction (ovulatory function test (serum progesterone measurement)
- Tubal factor (HSG, Hysterosalpingo-constrast sonography)
- Uterine factor ( Transvaginal US, sonohysterography, hysteroscopy, HSG)
Male:
history and semen analysis
Question:
Key historical factors to elicit from the patient undergoing infertility evaluation include the following
Answer:
duration of infertility and results of any previous evaluation and treatment
-menstrual history (including age at menarche, cycle interval, length, and characteristics;
presence of molimina [mild premenstrual symptoms and changes]; and onset and severity of
dysmenorrhea), signs of ovulation including positive ovulation tests, cervical mucus changes, or
biphasic basal body temperatures
-pregnancy history (gravidity, parity, time to preg- nancy, fertility treatments, pregnancy
outcome, delivery route, and associated complications)
-previous methods of contraception
- coital frequency and timing
- sexual dysfunction
- past surgery (procedures, indications, and out- comes) focused on abdominal and pelvic
procedures
- previous hospitalizations, serious illnesses, or injuries
- gynecologic history (eg, pelvic inflammatory disease, sexually transmitted infections,
endometriosis, leiomyomas)
- sexual history
- review of organ systems, including history of thyroid disease, galactorrhea, hirsutism, pelvic or
abdominal pain, and dyspareunia
- previous abnormal cervical cancer screening tests and any subsequent treatment
- current medications and supplements, with an emphasis on identifying allergies and potential
teratogens
- family history of birth defects, developmental delay, early menopause, or reproductive
problems
- occupation and exposure to known environmental hazards and
-use of nicotine products, alcohol, and recreational or illicit drugs
2026/2027
Question:
Define infertility and subsequent infertility evaluation (timing)
Answer:
Women older than 35 years should receive an expedited evaluation and undergo treatment after 6
months of failed attempts to become pregnant or earlier, if clinically indicated. In women older than
40 years, more immediate evaluation and treatment are warranted. If a woman has a condition known
to cause infertility, the obstetrician-gynecologist should offer immediate evaluation.
Question:
For infertility assessment: a targeted physical examination of the female partner should be performed
with a focus on vital signs and include
Answer:
a thyroid, breast, and pelvic examination.
Question:
For the female partner, tests will focus on
Answer:
ovarian reserve, ovulatory function, and structural abnormalities
Question:
Infertility affects what percent of couples
Answer:
15%
Question:
Indications for immediate infertility evaluation include the following
Answer:
oligomenorrhea or amenorrhea
- known or suspected uterine, tubal, or peritoneal disease
- stage III or stage IV endometriosis
- known or suspected male infertility
, Question:
Basic infertility evaluation components
Answer:
Female History, Physical, Prepregnancy evaluation Additional evaluation for etiology of infertility:
- diminished ovarian reserve (AMH
or basal FSH and estradiol or Transvaginal US with astral follicle count)
- Ovulatory dysfunction (ovulatory function test (serum progesterone measurement)
- Tubal factor (HSG, Hysterosalpingo-constrast sonography)
- Uterine factor ( Transvaginal US, sonohysterography, hysteroscopy, HSG)
Male:
history and semen analysis
Question:
Key historical factors to elicit from the patient undergoing infertility evaluation include the following
Answer:
duration of infertility and results of any previous evaluation and treatment
-menstrual history (including age at menarche, cycle interval, length, and characteristics;
presence of molimina [mild premenstrual symptoms and changes]; and onset and severity of
dysmenorrhea), signs of ovulation including positive ovulation tests, cervical mucus changes, or
biphasic basal body temperatures
-pregnancy history (gravidity, parity, time to preg- nancy, fertility treatments, pregnancy
outcome, delivery route, and associated complications)
-previous methods of contraception
- coital frequency and timing
- sexual dysfunction
- past surgery (procedures, indications, and out- comes) focused on abdominal and pelvic
procedures
- previous hospitalizations, serious illnesses, or injuries
- gynecologic history (eg, pelvic inflammatory disease, sexually transmitted infections,
endometriosis, leiomyomas)
- sexual history
- review of organ systems, including history of thyroid disease, galactorrhea, hirsutism, pelvic or
abdominal pain, and dyspareunia
- previous abnormal cervical cancer screening tests and any subsequent treatment
- current medications and supplements, with an emphasis on identifying allergies and potential
teratogens
- family history of birth defects, developmental delay, early menopause, or reproductive
problems
- occupation and exposure to known environmental hazards and
-use of nicotine products, alcohol, and recreational or illicit drugs
