Infertility: intrauterine insemination requirements: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Infertility: intrauterine insemination requirements

Sample item

Which condition must be met before offering intrauterine insemination to a couple?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. At least one patent fallopian tube and an adequate post-wash total motile sperm count

IUI places washed, concentrated sperm in the uterine cavity, so it needs patent tubes with a normal uterine cavity and enough motile sperm after processing. Indications include mild male factor, cervical factor, ovulatory dysfunction and unexplained infertility. Tubal blockage or severe male factor requires IVF or ICSI.

Option by option

  • A. Bilateral tubal blockage

    Bilateral tubal blockage precludes IUI and needs IVF.

  • B. Azoospermia

    Azoospermia needs surgical sperm retrieval or donor sperm.

  • C. Absent uterus

    An absent uterus precludes IUI.

  • D. At least one patent fallopian tube and an adequate post-wash total motile sperm count (correct)

    Correct. Tubal patency and enough motile sperm are prerequisites.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, At least one patent fallopian tube and an adequate post-wash total motile sperm count. IUI places washed, concentrated sperm in the uterine cavity, so it needs patent tubes with a normal uterine cavity and enough motile sperm after processing.

Why is "Bilateral tubal blockage" not the answer?

Bilateral tubal blockage precludes IUI and needs IVF.

Why is "Azoospermia" not the answer?

Azoospermia needs surgical sperm retrieval or donor sperm.

Why is "Absent uterus" not the answer?

An absent uterus precludes IUI.

What concept does this question test?

It tests Infertility: intrauterine insemination requirements in OBG. Indications include mild male factor, cervical factor, ovulatory dysfunction and unexplained infertility. Tubal blockage or severe male factor requires IVF or ICSI.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Infertility: intrauterine insemination requirements?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.