Evaluation of infertility.

The most important goal of fertility investigation is to identify the cause(s) of infertility and to prescribe adequate therapy. The couple should be treated as a single unit as each partner contributes a share to the infertility potential of the couple. Evaluation should begin with the taking of a detailed history and a complete physical examination of both partners, which may point the investigation in a particular direction. However, other pertinent fertility factors should not be overlooked. A standardized and comprehensive approach to the investigation of infertility is proposed and is presented as a series of flow charts.