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Investigation Recommendations

Evidence-based diagnostic pathway

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Case: FC-2024-001

Patient Code: PT-8847

Age:32
AMH:0.8 ng/mL

Recommended Investigations

High priority tests based on clinical data

Hysterosalpingography (HSG)

Assess tubal patency

Timeline: Within 2 weeks

High Priority

Transvaginal Ultrasound

Follicular monitoring

Timeline: Day 2-3 of cycle

High Priority

Thyroid Panel (TSH, Free T4)

Optimize thyroid function

Timeline: Within 1 month

Medium Priority

Vitamin D Level

Common deficiency affecting fertility

Timeline: Within 1 month

Medium Priority

Consider if Indicated

Conditional investigations based on findings

Saline Infusion Sonography

If HSG shows abnormality

Timeline: As needed

Low Priority

Antiphospholipid Antibodies

History of miscarriage

Timeline: Within 2 months

Low Priority

Karyotyping (Both Partners)

Recurrent pregnancy loss workup

Timeline: If ≥2 losses

Low Priority

Not Indicated

Tests not recommended at this stage

Laparoscopy

No clinical indication at this stage

Endometrial Biopsy

Not first-line investigation

Immunological Testing

Insufficient evidence base

Dynamic Trigger Applied

AMH < 1 ng/mL detected → Diminished ovarian reserve pathway activated. Early referral and aggressive treatment recommended.

Clinical Decision Support Tool – Not a substitute for specialist evaluation.

Recommendations based on ASRM, ESHRE, NICE guidelines | Version 1.0.0

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Important Clinical Disclaimer

For Licensed Healthcare Professionals Only

This platform is intended exclusively for use by licensed healthcare professionals with appropriate training in reproductive medicine.

Not a Medical Device: Fertility CDS is a Clinical Decision Support (CDS) tool and is not an FDA-cleared, MHRA-registered, or CE-marked medical device.

Clinical Judgment Required: All recommendations must be interpreted in the context of the full clinical picture. This tool does not replace specialist evaluation or clinical judgment.

Guideline-Aligned: Recommendations are based on WHO 2021, ASRM 2023, ESHRE 2023, NICE CG156, ACOG 2023, and EAU 2023 guidelines, but clinical protocols may vary by jurisdiction.

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