Welcome. This is divine. This is episode 493 of the divine intervention

podcast. And to this podcast we're going to be addressing the topic of

infertility. In fact, I think I want to call this the extremely clock the in so many ways on the USML exams. So I would not mess around with this if I were you.

Today I'm going to be spending most of the time on vignettes, like probably like 20 or more vignettes of just many

different ways the contest in fertility. So please this is something I want to pay attention to.

This is super high-yield if you're taking step one, step two or

step three. Simple as that. All right. So let's begin. So before we begin with the vignettes, just

get a few quick things out of the way first thing I'm going to say is typically we're going to see a person is a

Infertile when they've tried for a year

So 12 months, you know, contraceptive free, the ventricular sexual intercourse, penetrative intercourse, you know pretty regular

intervals and they're still not able to conceive. That's going to be considered to be

infertility. And again, we usually don't worry on the USML is about trading until it's a year or more. However, there are certain people where we actually begin to worry after like six months that we kind of need to start on this treatment.

It's usually the big one, again there are many criteria, but again, let's focus on what's high-yielding this podcast.

The big one is if you're, if you've tried for over, if you're over-age 35, so you see that man for six months I've not been able to

conceive by over 35 we're generally gonna start trading at that point. Now

another thing I'm gonna say is that many resources and many people honestly

perseverate on the workup of infertility but in my experience I've found to have found that to have very limited yield for the USMA exams

so I'm actually not going to spend any time on those.

Many times when they give you a Q- stem on infertility and they are looking for a diagnostic test,

the question stem will give you clues as to the cause of the infertility. So you want to pick a diagnostic test or a treatment step that

addresses the cause of their infertility. That's what I'm going to say. This is not me trying to

cop out. This is just me telling you what makes the most sense for your exams. So you don't

...