Case history
Case history #1
A 36-year-old nulligravid woman presents to her gynecologist because she has been unable to conceive. She stopped using contraception 1 year ago. Her menstrual cycles occur regularly every 28 days and are associated with moliminal symptoms (breast tenderness, bloating, and mood changes). She denies dysmenorrhea or dyspareunia. She has no significant medical history, has never had a sexually transmitted disease, and has never had surgery. Her husband is 34 years old and has never fathered a child. He has a history of hypertension controlled by beta-blockers.
Case history #2
A 28-year-old woman presents to her gynecologist because she has been unable to conceive for 1 year. She has one child, which took her 1 year to conceive. Her prenatal course was uncomplicated, although she required a cesarean section for failure to progress and chorioamnionitis. There were no postoperative complications, and the child is healthy. She has heavy menstrual cycles every 35-42 days without significant dysmenorrhea or dyspareunia. Her husband is 38 years old and is the father of her first child. He is healthy, takes no medication, and has no other children.
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