I Initial examination Female partner

This should be followed by clinical examination, including and significant past medical or surgical  history . Systemic examination should e followed by Internal examination –Pap smear at first exam if not before 5yrs, , visible Cx lesions,. evidence of white discharge, palpable TO mass, Fixity, tenderness of uterus  ,Myoma, Adenomyosis etc should be elicited. The consistency, firmness, RV, Retroflexed  , Av, Ante flexion(sonologist  will mention the angle of flexion) , Cochleate uterus  should be assessed and documented and corroborated with pelvic scan at first visit, In cases of sec subfertility details of past abortion has to be documented..Acknowledging the fact of that one should .  Streamline the investigations and formulate the plan and  design only after a provisional diagnosis from history & clinical examination