Regina is a 38-year-old woman who has been trying to conceive for about a year. She married late in life and started trying to conceive shortly thereafter. She is in good health, with no medical problems, and has had fairly regular menstrual cycles; however, she notes that the length of her cycle has gotten shorter over the past 2 to 3 months and is now occurring every 25 days. She has used an over-the-counter “fertility” test that assesses ovarian reserve by urinary follicle-stimulating hormone levels, which indicated that she has low fertility. She decided to seek medical help
From the Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN.
Received July 15, 2013; revised and accepted July 16, 2013.
Financial disclosure/conflicts of interest: None reported.
Address correspondence to: Esther Eisenberg, MD, MPH, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN 37232-2519. E-mail: firstname.lastname@example.org