4.

Clinical approach to therapy and harm Example : Infertilityapproach (*failure to conceive after one year of regular unprotected intercourse) My approach to management of infertility would involve: Thorough clinical assessment, focused history and examination of both patients Investigations: including an initial semen analysis to exclude male factor infertility (quick and easy to do), followed by female-factor investigations, including endocrine blood tests if clinical evidence suggestive of anovulatory cycles, or more invasive procedural investigations if clinical evidence of ovulatory cycles. Management: directed towards the underlying cause identified

Understanding harm