INFERTILITY

Counselling.

Lifestyle modification, e.g. weight optimisation, smoking cessation and regular sexual intercourse.

Investigation of semen analysis and prolactin level.

Mid-luteal (day 21) progesterone assay. > 30 nmol/L suggests adequate ovulation.

Laparoscopy and/or hysterosalpingography (Specialist supervision).

MEDICINE TREATMENT

Treat the underlying disease.

For induction of ovulation:

• Clomifene, oral, 50 mg daily on days 5–9 of the cycle. Specialist only.

       o      Monitor the progress of ovulation.

For hyperprolactinaemia after further investigation: SEE Prolactinoma.