This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.
This episode outlines the investigation for male factor infertility in a 25-year-old man whose wife is 23. The couple has been trying to conceive for a year, and while the wife's fertility has been confirmed, the husband's recent semen analysis is abnormal. The primary goal is to assess the husband's ability to achieve a pregnancy with his wife by examining the semen analysis and exploring potential treatments like IVF or donor sperm. The case details the necessary steps for the examiner, including patient history questions and the interpretation of fertility data, emphasising that a single semen test is insufficient and further testing is required to confirm the persistent abnormality and inform treatment decisions.
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