Problems of fertility and their management.

Subfertility is common. Its management is almost invariably stressful. With the aid of an Upjohn Travelling Fellowship, it was hoped that a more structured role for the general practitioner could be developed, which would be adaptable for use in different areas and which would improve the management of subfertile couples. By personal visits to many hospitals and reviewing recent literature on subfertility, constructive criticism has been made of the service that is provided.The treatment of subfertility in many cases is still largely empirical. Comparative trials of the management of the subfertile are rarely available.Recommendations have been made which, it is hoped, will be studied by all those involved in the management of the subfertile. Poor communication is often the root problem, and attention has been paid to devising a remedy for this.