What is the best way to evaluate secondary infertility?
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The work-up for secondary infertility--the inability to conceive after 1 year of regular unprotected intercourse for a couple who have previously had a child--should include a history and physical exam for both patients, plus evaluation of ovulation, semen analysis, and imaging of the uterus and fallopian tubes (strength of recommendation [SOR]: B, based on cohort studies).
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