What is one initial investigation that should be done for all individuals seeking evaluation for infertility?

Testing for sexually transmitted infections (STIs), including gonorrhea and chlamydia, as well as syphilis, HIV, hepatitis B, and hepatitis C, is a critical initial investigation for individuals seeking evaluation for infertility. STIs can have a direct impact on reproductive health and can either cause infertility or complicate existing fertility issues.

In both male and female patients, STIs can lead to scarring or damage to the reproductive organs, resulting in conditions such as pelvic inflammatory disease (PID) in women or epididymitis in men, both of which can hinder the ability to conceive. Early identification and treatment of STIs can improve reproductive outcomes and prevent further complications that may arise from undiagnosed infections.

By conducting STI testing as part of the initial evaluation for infertility, healthcare providers can address any underlying infectious conditions that may be contributing to fertility problems and initiate appropriate treatment if necessary. This comprehensive approach ensures that infectious causes are ruled out or managed, allowing for a more focused investigation into other potential causes of infertility thereafter.