Case: FC-2024-001
Patient Code: PT-8847
Recommended Investigations
High priority tests based on clinical data
Hysterosalpingography (HSG)
Assess tubal patency
Timeline: Within 2 weeks
Transvaginal Ultrasound
Follicular monitoring
Timeline: Day 2-3 of cycle
Thyroid Panel (TSH, Free T4)
Optimize thyroid function
Timeline: Within 1 month
Vitamin D Level
Common deficiency affecting fertility
Timeline: Within 1 month
Consider if Indicated
Conditional investigations based on findings
Saline Infusion Sonography
If HSG shows abnormality
Timeline: As needed
Antiphospholipid Antibodies
History of miscarriage
Timeline: Within 2 months
Karyotyping (Both Partners)
Recurrent pregnancy loss workup
Timeline: If ≥2 losses
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